Active NPI
Vishnu Hardasmal Sujanani, MA, CCC-SLP
- Speech-Language Pathologist
- Trinity, FL
National Provider Identifier
1225262272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 3304
- Practice address
- 10735 Northridge CT
Trinity, FL 34655-5041 - Phone
- (727) 376-9180
- Fax
- (727) 376-9180
- NPI assigned
- May 5, 2009
- Last updated
- Feb 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 3304 | FL | Primary |
Addresses
Primary practice location
10735 Northridge CT
Trinity, FL 34655-5041
Mailing address
10735 Northridge CT
Trinity, FL 34655-5041
Phone (727) 376-9180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH221A | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 3304 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1225262272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10735 NORTHRIDGE CT",
"city": "TRINITY",
"state": "FL",
"postal_code": "346555041",
"telephone_number": "727-376-9180",
"fax_number": "727-376-9180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10735 NORTHRIDGE CT",
"city": "TRINITY",
"state": "FL",
"postal_code": "346555041",
"telephone_number": "727-376-9180",
"fax_number": "727-376-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUJANANI",
"first_name": "VISHNU",
"middle_name": "HARDASMAL",
"name_prefix": "Mr.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-05",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 3304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "CH221A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.