Individual provider Active NPI

Angela Marcela Solanilla

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1255662128
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ4972 Issued in FL
Practice address
14048 Bramble Bush CT
Orlando, FL 32832-5722
Phone
(407) 383-7082
NPI assigned
Jan 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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 SZ4972 FL Primary

Addresses

Primary practice location

14048 Bramble Bush CT
Orlando, FL 32832-5722

Mailing address

6750 Bouganvillea Crescent Dr
Orlando, FL 32809-6620
Phone (407) 340-7298

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
SZ4972FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Step 2 Success Therapy, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1255662128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 BOUGANVILLEA CRESCENT DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328096620",
            "telephone_number": "407-340-7298",
            "fax_number": "407-850-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14048 BRAMBLE BUSH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325722",
            "telephone_number": "407-383-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLANILLA",
        "first_name": "ANGELA",
        "middle_name": "MARCELA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ4972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.