Shaimir Berrios Rodriguez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA17357 Issued in FL

Practice address

4709 SE 102ND PL Unit 2-104
Belleview, FL 34420-2939

Phone

(352) 659-3334

NPI assigned

Nov 4, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Olive Tree Speech Therapy

  • Speech-Language Pathologist
  • Belleview, FL
  • NPI 1063134542
  NPD Authorized official
• Einstein Therapy Center, Inc.

  • Speech-Language Pathologist
  • Gainesville, FL
  • NPI 1114068822
  NPD (past)

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

{
    "created_epoch": "1541289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1295203636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 SE 116TH ST",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344204327",
            "telephone_number": "352-659-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 SE 102ND PL UNIT 2-104",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344202939",
            "telephone_number": "352-659-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS RODRIGUEZ",
        "first_name": "SHAIMIR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-04",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belleview Community Pharmacy
• Belleview Dental Center, Inc
• Belleview Imaging Center, LLC
• Kaitlyn Jasmine Nicole Bennett
• Ma Analyn Bernasol
• Zane Bhaiji
• Susan E. Bonenclark, PA-C
• Lynette Dorothy Bonjorni, L.M.T.
• Jennifer Lynne Bourque
• Naya Boyd

• Speech-Language Pathologist in Belleview, FL
• Providers in Belleview, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.