Heather Watson Barranco

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI3869 Issued in FL

Practice address

130 E Central Ave
Lake Wales, FL 33853-4166

Phone

(863) 679-6560

Fax

(863) 679-6565

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Wales Charter Schools Inc

  • Speech-Language Pathologist
  • Lake Wales, FL
  • NPI 1265910657
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1356913933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LAKE ELOISE LN",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338842821",
            "telephone_number": "863-224-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E CENTRAL AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534166",
            "telephone_number": "863-679-6560",
            "fax_number": "863-679-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRANCO",
        "first_name": "HEATHER",
        "middle_name": "WATSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI3869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Baez, CCC-SLP
• Jean Fritzner Balan, M.D.
• Bangash Dentistry PLLC
• Maryam Bangash
• Santelia Barnes
• Ricardo Jesus Barranon, MD
• William Barringer, M.D.
• Barringer,Nelson & Holmes PA (Lake Wales Family Practice)
• Vickie Barron, LMHC
• Jennifer Bayron, OTR

• Speech-Language Assistant in Lake Wales, FL
• Providers in Lake Wales, 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 Jul 13, 2021; 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.