Active NPI
Delores Danielle Mills, SLP
- Speech-Language Pathologist
- Clermont, FL
National Provider Identifier
1366613838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA10208
- Practice address
- 2400 S Highway 27 Ste B201
Clermont, FL 34711-6816 - Phone
- (352) 394-0212
- Fax
- (352) 241-6361
- NPI assigned
- Mar 12, 2008
- Last updated
- May 3, 2018
- 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 | SA10208 | FL | Primary |
Addresses
Primary practice location
2400 S Highway 27 Ste B201
Clermont, FL 34711-6816
Mailing address
2755 Pythagoras Cir
Ocoee, FL 34761-4477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 892671900 | Medicaid | FL |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center of Dreams | Past | Accepting new patients | |
| Central Florida Dreamplex LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Skilled Nursing Facility
- Ocoee, FL
- NPI 1033532726
-
- Pediatric Physical Therapist
- Clermont, FL
- NPI 1215017512
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1366613838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2755 PYTHAGORAS CIR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S HIGHWAY 27 STE B201",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116816",
"telephone_number": "352-394-0212",
"fax_number": "352-241-6361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "DELORES",
"middle_name": "DANIELLE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-12",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA10208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "892671900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.