Individual provider Active NPI

Miranda Nikole Muscato, SLPD, CCC-SLP

  • Speech-Language Pathologist
  • Winter Garden, FL
National Provider Identifier
1497363634
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16738 Issued in FL
Practice address
15223 Evergreen Oak Loop
Winter Garden, FL 34787-6429
Phone
(816) 591-6214
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 16738 FL Primary

Addresses

Primary practice location

15223 Evergreen Oak Loop
Winter Garden, FL 34787-6429

Mailing address

15223 Evergreen Oak Loop
Winter Garden, FL 34787-6429
Phone (816) 591-6214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914000040 FL Practitioner - Qualified Speech Language Pathologist 6103280805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Dreamplex LLCGroup PAC ID 0840520193, 8 clinicians

Practice addresses (Care Compare)

5165 Adanson St
Orlando, FL 32804-1331
Phone (352) 394-0212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16738FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Dreamplex LLC Speech-Language Pathologist CurrentSince Jul 13, 2023 Accepting new patients

Locations

2400 S US Highway 27
Ste B201
Clermont, FL 34711
Phone (352) 606-0000

2400 S Highway 27
Ste B2
Clermont, FL 34711

5165 Adanson St
Orlando, FL 32804
Phone (407) 303-7600

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.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1497363634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15223 EVERGREEN OAK LOOP",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876429",
            "telephone_number": "816-591-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15223 EVERGREEN OAK LOOP",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876429",
            "telephone_number": "816-591-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCATO",
        "first_name": "MIRANDA",
        "middle_name": "NIKOLE",
        "credential": "SLPD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "16738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.