Individual provider Active NPI

Baylee Grace Harrison, MA. CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1457908535
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA18274 Issued in FL
Practice address
6000 S Rio Grande Ave Ste 206
Orlando, FL 32809-4650
Phone
(407) 280-3776
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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 SA18274 FL Primary

Addresses

Primary practice location

6000 S Rio Grande Ave Ste 206
Orlando, FL 32809-4650

Mailing address

6000 S Rio Grande Ave Ste 206
Orlando, FL 32809-4650
Phone (407) 280-3776

Other practice location 1

5728 Major Blvd Ste 600
Orlando, FL 32819-7970
Phone (407) 280-3776

Other identifiers 1

IdentifierTypeStateIssuer
SZ9153OtherFLFLORIDA DEPARTMENT OF HEALTH

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
SA18274FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Children's Therapy CurrentSince Dec 13, 2020 Accepting new patients
Services by Amy LLC Speech-Language Pathologist PastSince Aug 1, 2019 Accepting new patients

Locations

5728 Major Blvd
Ste 600
Orlando, FL 32819
Phone (407) 280-3776

Organizations & group practices 2

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1457908535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 S RIO GRANDE AVE STE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094650",
            "telephone_number": "407-280-3776",
            "fax_number": "407-454-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S RIO GRANDE AVE STE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094650",
            "telephone_number": "407-280-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5728 Major Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197970",
            "country_code": "US",
            "telephone_number": "407-280-3776",
            "fax_number": "407-454-9007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "BAYLEE",
        "middle_name": "GRACE",
        "credential": "MA. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "SZ9153",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.