NPIMap

Organization Active NPI

Brenda Liz de Jesus Vega

  • Hearing and Speech Clinic/Center
  • Orlando, FL
National Provider Identifier
1306261607
Registry record updated Feb 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
SZ5973 Issued in FL
Legal business name
BRENDA LIZ DE JESUS VEGA
Practice address
6062 Tivoli Gardens Blvd
Orlando, FL 32829-7702
Phone
(407) 779-2419
NPI assigned
Feb 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2014

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

Authorized official

Name
Mrs. Brenda Liz De Jesus Vega, MSSLP-CCCNPI 1750527602
Title
Speech and Language Pathology
Phone
(407) 779-2419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X SZ5973 FL Primary

Addresses

Primary practice location

6062 Tivoli Gardens Blvd
Orlando, FL 32829-7702

Mailing address

6062 Tivoli Gardens Blvd
Orlando, FL 32829-7702
Phone (407) 779-2419

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393113600000",
    "number": "1306261607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6062 TIVOLI GARDENS BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328297702",
            "telephone_number": "407-779-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6062 TIVOLI GARDENS BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328297702",
            "telephone_number": "407-779-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA LIZ DE JESUS VEGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-23",
        "last_updated": "2014-02-23",
        "status": "A",
        "authorized_official_last_name": "DE JESUS VEGA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LIZ",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGY",
        "authorized_official_telephone_number": "407-779-2419",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSSLP-CCC"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "FL",
            "license": "SZ5973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2014; 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.