Individual provider Active NPI

Julisa Chrysafi, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Cape Coral, FL
National Provider Identifier
1427717933
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16883 Issued in FL
Practice address
1211 SW 14TH St
Cape Coral, FL 33991-2904
Phone
(631) 902-8318
NPI assigned
Dec 12, 2021
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 16883 FL Primary

Addresses

Primary practice location

1211 SW 14TH St
Cape Coral, FL 33991-2904

Mailing address

1211 SW 14TH St
Cape Coral, FL 33991-2904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829000984 FL Practitioner - Qualified Speech Language Pathologist 6204375678

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9711 Bay Harbor Cir
Apt 103
Fort Myers, FL 33919-5734

9711 Bay Harbor Cir Apt
Suite 103
Fort Myers, FL 33919-5734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16883FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sol Rehabilitation Speech-Language Pathologist CurrentSince Aug 22, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1427717933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 SW 14TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 SW 14TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912904",
            "telephone_number": "631-902-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRYSAFI",
        "first_name": "JULISA",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-12",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "16883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.