Individual provider Active NPI

Lisbet Gonzalez, BS SLP-A

  • Speech-Language Assistant
  • Miami, FL
National Provider Identifier
1235714767
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI4535 Issued in FL
Practice address
9435 Fontainebleau Blvd Apt 207
Miami, FL 33172-5525
Phone
(786) 482-0158
NPI assigned
Mar 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI4535 FL Primary

Addresses

Primary practice location

9435 Fontainebleau Blvd Apt 207
Miami, FL 33172-5525

Mailing address

9435 Fontainebleau Blvd Apt 207
Miami, FL 33172-5525
Phone (786) 482-0158

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@speechtherapymiami.org Other

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
SI4535FLMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1235714767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9435 FONTAINEBLEAU BLVD APT 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331725525",
            "telephone_number": "786-482-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9435 FONTAINEBLEAU BLVD APT 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331725525",
            "telephone_number": "786-482-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LISBET",
        "credential": "BS SLP-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI4535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@speechtherapymiami.org",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "info@speechtherapymiami.org",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9435 Fontainebleau Blvd Apt 207",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331725525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 16, 2021; 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.