Active NPI
Carmen M. Cortes, M.A., CCC/SLP
- Speech-Language Pathologist
- Palmetto Bay, FL
National Provider Identifier
1477977007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3769
- Practice address
- 13601 SW 80TH CT
Palmetto Bay, FL 33158-1137 - Phone
- (786) 999-9301
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3769 | FL | Primary |
Addresses
Primary practice location
13601 SW 80TH CT
Palmetto Bay, FL 33158-1137
Mailing address
13601 SW 80TH CT
Palmetto Bay, FL 33158-1137
Phone (786) 999-9301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891203300 | Medicaid | FL |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3769 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Pediatric Speech & Language Therapy | 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.
-
- Speech-Language Pathologist
- Palmetto Bay, FL
- NPI 1376982967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1477977007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13601 SW 80TH CT",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331581137",
"telephone_number": "786-999-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13601 SW 80TH CT",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331581137",
"telephone_number": "786-999-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES",
"first_name": "CARMEN",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "M.A., CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "3769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891203300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.