Edith Adriana Wandemberg, SLP-A

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI6709 Issued in FL

Practice address

1107 Mabbette St
Kissimmee, FL 34741-5161

Phone

(407) 201-8079

NPI assigned

Oct 12, 2023

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.

• Yakety Yak Speech-Language Pathologists, Inc.

  • Clinic/Center
  • York, SC
  • NPI 1003542374
  NPD
• Yakety Yak Speech-Language Pathologists, Inc.

  • Speech-Language Pathologist
  • Kissimmee, FL
  • NPI 1376867465

  Speech-Language Assistant

  NPD (past)

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1295516342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11136 POINT SYLVAN CIR APT F",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256041",
            "telephone_number": "386-864-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 MABBETTE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415161",
            "telephone_number": "407-201-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANDEMBERG",
        "first_name": "EDITH",
        "middle_name": "ADRIANA",
        "credential": "SLP-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI6709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Wallis
• Omana A Walson
• Raeann Walter, LMT
• Elizabeth R. Walther, ARNP
• Wanda Rios Morales
• Todd Wandstrat, R.PH., PHARMD
• John Wang-Hu, PHARMD
• Hui Wang
• Qi Wang, D.M.D
• Zenovia Wangler, ITDS

• Speech-Language Assistant in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.