Individual provider Active NPI

Talia Calendrillo, MA CCC-SLP

  • Speech-Language Pathologist
  • Oviedo, FL
National Provider Identifier
1407273964
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14168 Issued in FL
Practice address
1000 W Broadway St
Ste 214
Oviedo, FL 32765-9260
Phone
(407) 359-5693
NPI assigned
Mar 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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 SA14168 FL Primary
Speech-Language Pathologist 235Z00000X 8915 CA

Addresses

Primary practice location

1000 W Broadway St
Ste 214
Oviedo, FL 32765-9260

Mailing address

1809 E Broadway St # 122
Oviedo, FL 32765-8597
Phone (407) 359-5693

Other identifiers 1

IdentifierTypeStateIssuer
018360200MedicaidFL

Other names 1

  • Ms. Talia Perna Former 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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1395532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1407273964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E BROADWAY ST # 122",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658597",
            "telephone_number": "407-359-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST",
            "address_2": "STE 214",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659260",
            "telephone_number": "407-359-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALENDRILLO",
        "first_name": "TALIA",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-23",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14168",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "8915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018360200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALIA",
            "last_name": "PERNA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.