Active NPI
Mariam Obas-Ducoste
- Speech-Language Pathologist
- Jupiter, FL
National Provider Identifier
1326233529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ4149
- Practice address
- 2532 W Indiantown Rd Ste 2
Jupiter, FL 33458-3935 - Phone
- (561) 748-5430
- Fax
- (561) 748-5442
- NPI assigned
- Sep 11, 2007
- Last updated
- Sep 11, 2007
- 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 Pathologist | 235Z00000X | SZ4149 | FL | Primary |
Addresses
Primary practice location
2532 W Indiantown Rd Ste 2
Jupiter, FL 33458-3935
Mailing address
2532 W Indiantown Rd Ste 2
Jupiter, FL 33458-3935
Phone (561) 748-5430
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 |
|---|---|---|---|
| SZ4149 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1326233529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2532 W INDIANTOWN RD STE 2",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583935",
"telephone_number": "561-748-5430",
"fax_number": "561-748-5442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2532 W INDIANTOWN RD STE 2",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583935",
"telephone_number": "561-748-5430",
"fax_number": "561-748-5442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBAS-DUCOSTE",
"first_name": "MARIAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ4149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.