Individual provider Active NPI

Laura Elena Hernandez

  • Developmental Therapist
  • Miami, FL
National Provider Identifier
1508245481
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
12021 SW 176TH Ter
Miami, FL 33177-2348
Phone
(305) 467-0171
NPI assigned
May 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-15-01308
Speech-Language Assistant 2355S0801X SI2548 FL
Developmental Therapist 222Q00000X FL Primary

Addresses

Primary practice location

12021 SW 176TH Ter
Miami, FL 33177-2348

Mailing address

12021 SW 176TH Ter
Miami, FL 33177-2348
Phone (305) 467-0171

Other practice location 1

1845 NE 8th St
Homestead, FL 33033-4705
Phone (786) 410-5839

Other identifiers 2

IdentifierTypeStateIssuer
SI2548OtherFLSPEECH LANGUAGE PATHOLOGY ASSISTANT
017849900MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
SI2548FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Speech & Language Therapy, Inc. PastSince Apr 13, 2016 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.

NPI Registry JSON

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1508245481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 SW 176TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772348",
            "telephone_number": "305-467-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 SW 176TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772348",
            "telephone_number": "305-467-0171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1845 NE 8th St",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330334705",
            "country_code": "US",
            "telephone_number": "786-410-5839",
            "fax_number": "786-410-5837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LAURA",
        "middle_name": "ELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-25",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-15-01308",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI2548",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGY ASSISTANT",
            "identifier": "SI2548",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017849900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.