Individual provider Active NPI

Alexandra Sofia Salazar, MS.SLP SA13588

  • Speech-Language Pathologist
  • Miami Lakes, FL
National Provider Identifier
1386726867
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 13588 Issued in FL
Practice address
9500 NW 77TH Ave
Bay 3
Miami Lakes, FL 33016-2530
Phone
(786) 429-7713
Fax
(786) 391-2963
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 13588 FL Primary

Addresses

Primary practice location

9500 NW 77TH Ave
Bay 3
Miami Lakes, FL 33016-2530

Mailing address

7355 NW 173Rd Dr Apt 101
Hialeah, FL 33015-8423
Phone (786) 486-5184

Other identifiers 1

IdentifierTypeStateIssuer
004269000MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
SA 13588FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fussion Therapy ,Inc Speech-Language Pathologist PastSince Apr 15, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1386726867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 NW 173RD DR APT 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158423",
            "telephone_number": "786-486-5184",
            "fax_number": "786-391-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 NW 77TH AVE",
            "address_2": "BAY 3",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330162530",
            "telephone_number": "786-429-7713",
            "fax_number": "786-391-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "ALEXANDRA",
        "middle_name": "SOFIA",
        "credential": "MS.SLP SA13588",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 13588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004269000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.