NPIMap

Organization Active NPI

Shining Stars Speech and Language Therapy Corp.

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1255775862
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11924 Issued in FL
Legal business name
SHINING STARS SPEECH AND LANGUAGE THERAPY CORP.
Practice address
9601 SW 142ND Ave
611
Miami, FL 33186-7327
Phone
(305) 801-9365
NPI assigned
Apr 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Ms. Lissette Mercedes Hernandez, M.S., CCC-SLP
Title
Speech Language Pathologist
Phone
(305) 801-9365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA11924 FL Primary

Addresses

Primary practice location

9601 SW 142ND Ave
611
Miami, FL 33186-7327

Mailing address

9601 SW 142ND Ave
611
Miami, FL 33186-7327
Phone (305) 801-9365

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1255775862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 SW 142ND AVE",
            "address_2": "611",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867327",
            "telephone_number": "305-801-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 SW 142ND AVE",
            "address_2": "611",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867327",
            "telephone_number": "305-801-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STARS SPEECH AND LANGUAGE THERAPY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "305-801-9365",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11924",
            "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 Apr 25, 2013; 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.