Antonina E Alava, MS-CCC-SLP

Key facts

NPI

1497044077

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

SA11161 (FL)

Practice address

1060 W State Road 434
Ste 108
Longwood, FL 32750-4919

Phone

(407) 260-0551

NPI assigned

Apr 4, 2011

Sex

Female

Sole proprietor

No

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.

• Rehab Advantage Solutions, PLLC Physical Therapist · Homosassa, FL · NPI 1164908307
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Antonia E Levigne Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2021.

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1497044077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8477 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465028",
            "telephone_number": "352-382-7214",
            "fax_number": "352-382-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W STATE ROAD 434",
            "address_2": "STE 108",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504919",
            "telephone_number": "407-260-0551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8477 S Suncoast Blvd",
            "address_purpose": "LOCATION",
            "city": "Homosassa",
            "state": "FL",
            "postal_code": "344465028",
            "country_code": "US",
            "telephone_number": "352-382-7214",
            "fax_number": "352-382-7781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAVA",
        "first_name": "ANTONINA",
        "middle_name": "E",
        "credential": "MS-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIA",
            "last_name": "LEVIGNE",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longwood, FL

• Wasim Ahmar, MD
• Imran Ahmed, MD
• Saqib Ahmed, M.D.
• Shakil Ahmed, MD
• Akl Active Inc
• Albertsons LLC
• Albertsons LLC
• Jayleen Alcantara
• Mareena Noor Aldayani, DO
• Gina Aleman

All providers in Longwood, FL · Speech-Language Pathologist in Florida