Individual provider Active NPI

Lizett Oliva Villar, M.S, SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1285713883
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA16706 Issued in FL
Practice address
10794 SW 24TH St
Miami, FL 33165-2499
Phone
(786) 237-1483
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-36932 FL
Speech-Language Pathologist 235Z00000X SA16706 FL Primary

Addresses

Primary practice location

10794 SW 24TH St
Miami, FL 33165-2499

Mailing address

2604 W 60TH St
Apt. 111a
Hialeah, FL 33016-4057
Phone (305) 362-8509

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
Master of Science

State licenses

LicenseStateTypeSpecialty
SA16706FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bases Technology, Inc Behavior Analyst CurrentSince Jan 19, 2025 Accepting new patients
Growing Together Kids Services Inc Behavior Analyst Current Accepting new patients
Bases Technology, Inc CurrentSince Jan 19, 2025 Accepting new patients
Gama Rehab Services, Inc Speech-Language Pathologist PastSince Sep 20, 2022 Accepting new patients
Gama Rehab Services, Inc Past Accepting new patients

Locations

10794 SW 24th St
Miami, FL 33165
Phone (786) 237-1483

Organizations & group practices 5

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1285713883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 W 60TH ST",
            "address_2": "APT. 111A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330164057",
            "telephone_number": "305-362-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652499",
            "telephone_number": "786-237-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVA VILLAR",
        "first_name": "LIZETT",
        "credential": "M.S, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-36932",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16706",
            "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 Jan 18, 2025; 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.