Individual provider Active NPI

Chantelly Alexandra Amador, SLP

  • Speech-Language Pathologist
  • Miami Lakes, FL
National Provider Identifier
1285133272
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ9335 Issued in FL
Practice address
15819 NW 91St CT
Miami Lakes, FL 33018-6361
Phone
(305) 910-7029
NPI assigned
Feb 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SI3491 FL
Speech-Language Pathologist 235Z00000X SZ9335 FL Primary

Addresses

Primary practice location

15819 NW 91St CT
Miami Lakes, FL 33018-6361

Mailing address

15819 NW 91St CT
Miami Lakes, FL 33018-6361
Phone (305) 910-7029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502003314 FL Practitioner - Qualified Speech Language Pathologist 4789049487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SI3491FLMDSpeech-Language Pathologist
SZ9335FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Explorers Therapy Services, PLLC CurrentSince Dec 20, 2022 Accepting new patients

Locations

4517 N Pine Island Rd
Sunrise, FL 33351
Phone (954) 591-8489

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": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1285133272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15819 NW 91ST CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186361",
            "telephone_number": "305-910-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15819 NW 91ST CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186361",
            "telephone_number": "305-910-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADOR",
        "first_name": "CHANTELLY",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SI3491",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.