Individual provider Active NPI

Erica Lilyann Vitaliano, CCC-SLP

  • Speech-Language Pathologist
  • Dunedin, FL
National Provider Identifier
1437589330
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA17969 Issued in FL
Practice address
2101 Multrees Xing Unit 306
Dunedin, FL 34698-6996
Phone
(847) 609-5100
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 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 1460127474 IL
Speech-Language Pathologist 235Z00000X SA17969 FL Primary

Addresses

Primary practice location

2101 Multrees Xing Unit 306
Dunedin, FL 34698-6996

Mailing address

2101 Multrees Xing Unit 306
Dunedin, FL 34698-6996
Phone (847) 609-5100

Other practice location 1

10039 La Crosse Ave
Skokie, IL 60077-1009
Phone (847) 609-5100

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
SA17969FLMDSpeech-Language Pathologist
1460127474ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Steps Florida LLC Speech-Language Pathologist Past 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": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1437589330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MULTREES XING UNIT 306",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986996",
            "telephone_number": "847-609-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MULTREES XING UNIT 306",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986996",
            "telephone_number": "847-609-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10039 La Crosse Ave",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771009",
            "country_code": "US",
            "telephone_number": "847-609-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITALIANO",
        "first_name": "ERICA",
        "middle_name": "LILYANN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "1460127474",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.