Active NPI
Daniela Medellin
- Speech-Language Assistant
- Coral Gables, FL
National Provider Identifier
1295409589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI4654
- Practice address
- 2828 Coral Way Ste 205
Coral Gables, FL 33145-3233 - Phone
- (305) 200-3540
- NPI assigned
- Aug 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI4654 | FL | Primary |
Addresses
Primary practice location
2828 Coral Way Ste 205
Coral Gables, FL 33145-3233
Mailing address
14453 SW 139TH Avenue Cir E
Miami, FL 33186-7244
Phone (305) 439-6335
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
| License | State | Type | Specialty |
|---|---|---|---|
| SI4654 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1295409589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14453 SW 139TH AVENUE CIR E",
"city": "MIAMI",
"state": "FL",
"postal_code": "331867244",
"telephone_number": "305-439-6335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 CORAL WAY STE 205",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331453233",
"telephone_number": "305-200-3540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDELLIN",
"first_name": "DANIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-02",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI4654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.