Individual provider Active NPI

Ariadna Cristina Van Der Plas, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Wellington, FL
National Provider Identifier
1497116222
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14065 Issued in FL
Practice address
12785 Forest Hill Blvd
Suite 8G
Wellington, FL 33414-4777
Phone
(954) 701-1330
NPI assigned
Mar 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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 SA14065 FL Primary

Addresses

Primary practice location

12785 Forest Hill Blvd
Suite 8G
Wellington, FL 33414-4777

Mailing address

19185 SE Southgate Dr
Tequesta, FL 33469-1658
Phone (954) 701-1330

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

LicenseStateTypeSpecialty
SA14065FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1497116222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19185 SE SOUTHGATE DR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334691658",
            "telephone_number": "954-701-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12785 FOREST HILL BLVD",
            "address_2": "SUITE 8G",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144777",
            "telephone_number": "954-701-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER PLAS",
        "first_name": "ARIADNA",
        "middle_name": "CRISTINA",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.