Active NPI
Zakkiyya Santiago
- Speech-Language Assistant
- Tamarac, FL
National Provider Identifier
1386409423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI909
- Practice address
- 6190 Rock Island Rd Apt 205
Tamarac, FL 33319-2697 - Phone
- (954) 540-4940
- NPI assigned
- Feb 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | SI909 | FL | Primary |
Addresses
Primary practice location
6190 Rock Island Rd Apt 205
Tamarac, FL 33319-2697
Mailing address
6190 Rock Island Rd Apt 205
Tamarac, FL 33319-2697
Other practice location 1
5547 W Oakland Park Blvd
Lauderhill, FL 33313-1411
Phone (886) 635-7732
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 |
|---|---|---|---|
| SI909 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1386409423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6190 ROCK ISLAND RD APT 205",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333192697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6190 ROCK ISLAND RD APT 205",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333192697",
"telephone_number": "954-540-4940"
}
],
"practiceLocations": [
{
"address_1": "5547 W Oakland Park Blvd",
"address_purpose": "LOCATION",
"city": "Lauderhill",
"state": "FL",
"postal_code": "333131411",
"country_code": "US",
"telephone_number": "886-635-7732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO",
"first_name": "ZAKKIYYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.