Individual provider Active NPI

Ivy Andueza

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1225891153
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ11850 Issued in FL
Practice address
757 NW 27TH Ave Ste 200
Miami, FL 33125-3012
Phone
(786) 431-1133
Fax
(786) 431-1287
NPI assigned
Feb 2, 2024
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ11850 FL Primary

Addresses

Primary practice location

757 NW 27TH Ave Ste 200
Miami, FL 33125-3012

Mailing address

757 NW 27TH Ave Ste 200
Miami, FL 33125-3012
Phone (786) 431-1133

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SZ11850FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior-Pro Care, LLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

757 NW 27th Ave
Ste 200
Miami, FL 33125
Phone (786) 431-1133

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1225891153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 NW 27TH AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253012",
            "telephone_number": "786-431-1133",
            "fax_number": "786-431-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 NW 27TH AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253012",
            "telephone_number": "786-431-1133",
            "fax_number": "786-431-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDUEZA",
        "first_name": "IVY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.