Jennifer Travieso

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA17191 Issued in FL

Practice address

18822 NW 80TH CT
Hialeah, FL 33015-5228

Phone

(305) 904-0285

NPI assigned

Sep 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• My Therapy Spot LLC

  • Occupational Therapist
  • Hialeah, FL
  • NPI 1013635358

  Multi-Specialty

  NPD Authorized official
• SLP Bee Peeps, Inc

  dba My Therapy Spot

  • Clinic/Center
  • Hialeah, FL
  • NPI 1952957276

  Multi-Specialty

  NPD Authorized official
• Bi-County Speech Language Pathology, Inc.

  • Clinic/Center
  • Davie, FL
  • NPI 1447265822

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1326522731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18822 NW 80TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18822 NW 80TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155228",
            "telephone_number": "305-904-0285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 S Flamingo Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333301902",
            "country_code": "US",
            "telephone_number": "954-312-3449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVIESO",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101010300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "841900085",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eladio Miguel Traviesas Herrera
• Surelys Travieso Diaz, APRN
• Gladys Travieso Quintana
• Carmen Travieso
• Ingriss Travieso, LMT
• Jorge Travieso, MD
• Michelle Travieso, PHARM.D.
• Yolanda Travieso
• Michael Treadaway
• Treasures Behavioral Services Corp

• Speech-Language Pathologist in Hialeah, FL
• Providers in Hialeah, 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 Aug 13, 2019; 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.