Individual provider Active NPI

Lindsay Marie Dearce

  • Speech-Language Pathologist
  • Wellington, FL
National Provider Identifier
1407415763
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA17856 Issued in FL
Practice address
12785 Forest Hill Blvd Ste 8G
Wellington, FL 33414-4777
Phone
(561) 753-4911
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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 SZ9056 FL
Speech-Language Pathologist 235Z00000X SA17856 FL Primary

Addresses

Primary practice location

12785 Forest Hill Blvd Ste 8G
Wellington, FL 33414-4777

Mailing address

5280 Las Verdes Cir Apt 113
Delray Beach, FL 33484-8080

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

LicenseStateTypeSpecialty
SA17856FLMDSpeech-Language Pathologist
SZ9056FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1407415763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 LAS VERDES CIR APT 113",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12785 FOREST HILL BLVD STE 8G",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144777",
            "telephone_number": "561-753-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARCE",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9056",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.