Organization Active NPI

Surf Side Speech Specialists, LLC

  • Speech-Language Pathologist
  • Satellite Beach, FL
National Provider Identifier
1356794572
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 14321 Issued in FL
Legal business name
SURF SIDE SPEECH SPECIALISTS, LLC
Practice address
484 Red Sail Way
Satellite Beach, FL 32937-3733
Phone
(321) 698-2886
NPI assigned
Jul 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Melissa Hamilton, MA, CCC-SLPNPI 1790120582
Title
Speech-Language Pathologist
Phone
(321) 698-2886

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA 14321 FL Primary

Addresses

Primary practice location

484 Red Sail Way
Satellite Beach, FL 32937-3733

Mailing address

484 Red Sail Way
Satellite Beach, FL 32937-3733
Phone (321) 698-2886

Other identifiers 1

IdentifierTypeStateIssuer
1790120582OtherFLNPI

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": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1356794572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 RED SAIL WAY",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373733",
            "telephone_number": "321-698-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 RED SAIL WAY",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373733",
            "telephone_number": "321-698-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURF SIDE SPEECH SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "321-698-2886",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 14321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790120582",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Satellite Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.