Miriam Medina, MS/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA14184 Issued in FL

Practice address

11724 Cranbourne Dr
Orlando, FL 32837-5756

Phone

(407) 729-8498

NPI assigned

Dec 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Thera-Care Pediatric Center, LLC

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1497550602
  NPD Authorized official
• Bubbles Therapy Services Corp

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1891244505
  NPD (past) Authorized official
• Milestones Children'S Therapy Center, LLC

  • Clinic/Center
  • Sanford, FL
  • NPI 1467989475

  Speech-Language Pathologist

  NPD
• Therapy World LLC

  • Clinic/Center
  • Kissimmee, FL
  • NPI 1053641001

  Speech-Language Pathologist

  NPD (past)
• Therapy World LLC

  • Clinic/Center
  • Kissimmee, FL
  • NPI 1750913588
  NPD (past)

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1235560558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11724 CRANBOURNE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375756",
            "telephone_number": "407-729-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11724 CRANBOURNE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375756",
            "telephone_number": "407-729-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MIRIAM",
        "credential": "MS/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235560558",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leanette Medina, RBT
• Leda Patricia Medina, RDN, LDN
• Liana Medina
• Lissa Alexandra Medina, ATR
• Melissa Medina
• Noemi Medina, MSS
• Reynaldo Medina
• Roberto E Medina, MD
• Stephanie M Medina
• Theresa Maria Medina, FNP

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.