Individual provider Active NPI

Patricia Lee Herrington, M. ED., CCC/SLP

  • Speech-Language Pathologist
  • Cooper City, FL
National Provider Identifier
1386751279
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
144.0132034 Issued in VT
Practice address
4943 SW 95TH Ave
Cooper City, FL 33328-3412
Phone
(954) 252-7591
Fax
(954) 252-7591
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 4272 FL
Speech-Language Pathologist 235Z00000X 144.0132034 VT Primary

Addresses

Primary practice location

4943 SW 95TH Ave
Cooper City, FL 33328-3412

Mailing address

4943 SW 95TH Ave
Cooper City, FL 33328-3412
Phone (954) 252-7591

Other identifiers 1

IdentifierTypeStateIssuer
830040200MedicaidFL

Other names 1

  • Mrs. Crystal Laree' Gomez Other name

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SA 4272FLMDSpeech-Language Pathologist
144.0132034VTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia L. Herrington Speech-Language Pathologist PastSince Dec 19, 2013 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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1386751279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4943 SW 95TH AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283412",
            "telephone_number": "954-252-7591",
            "fax_number": "954-252-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 SW 95TH AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283412",
            "telephone_number": "954-252-7591",
            "fax_number": "954-252-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRINGTON",
        "first_name": "PATRICIA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "M. ED., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 4272",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "144.0132034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830040200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "GOMEZ",
            "middle_name": "LAREE'",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.