Advance Your Speech, Corp.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ADVANCE YOUR SPEECH, CORP.

Practice address

1405 SW 107TH Ave Ste 301-H1
Miami, FL 33174-2533

Phone

(305) 602-8098

Fax

(305) 602-8208

NPI assigned

May 13, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lellany Vivanco, M.S. CCC-SLPNPI 1548570757

Title

Speech Language Pathologist / Owner

Phone

(305) 602-8098

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lellany Vivanco, SLP

  • Speech-Language Pathologist
  • Miami, FL
  • NPI 1548570757
  NPD (past) Authorized official

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1487065488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SW 107TH AVE STE 301-H1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742533",
            "telephone_number": "305-602-8098",
            "fax_number": "305-602-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SW 107TH AVE STE 301-H1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742533",
            "telephone_number": "305-602-8098",
            "fax_number": "305-602-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE YOUR SPEECH, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "VIVANCO",
        "authorized_official_first_name": "LELLANY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST / OWNER",
        "authorized_official_telephone_number": "305-602-8098",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002781500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Miami, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.