Individual provider Active NPI

Igmarie Mercado Hernandez, CCC-SLP

  • Speech-Language Pathologist
  • Palm City, FL
National Provider Identifier
1235885468
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA20776 Issued in FL
Practice address
3634 SW Sunset Trace Cir
Palm City, FL 34990-3028
Phone
(787) 515-0605
NPI assigned
Feb 25, 2022
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA20776 FL Primary
Speech-Language Pathologist 235Z00000X 10213 FL
Speech-Language Pathologist 235Z00000X SP36017 CA

Addresses

Primary practice location

3634 SW Sunset Trace Cir
Palm City, FL 34990-3028

Mailing address

3634 SW Sunset Trace Cir
Palm City, FL 34990-3028
Phone (787) 515-0605

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
10213FLMDSpeech-Language Pathologist
SA20776FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1235885468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 SW SUNSET TRACE CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903028",
            "telephone_number": "787-515-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 SW SUNSET TRACE CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903028",
            "telephone_number": "787-515-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO HERNANDEZ",
        "first_name": "IGMARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20776",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "10213",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP36017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.