Individual provider Active NPI

Melissa Sierra

  • Speech-Language Pathologist
  • Hialeah Gardens, FL
National Provider Identifier
1508561754
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ10809 Issued in FL
Practice address
9399 NW 121St Ter
Hialeah Gardens, FL 33018-4225
Phone
(786) 412-3162
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ10809 FL Primary

Addresses

Primary practice location

9399 NW 121St Ter
Hialeah Gardens, FL 33018-4225

Mailing address

9399 NW 121St Ter
Hialeah Gardens, FL 33018-4225
Phone (786) 412-3162

Other identifiers 1

IdentifierTypeStateIssuer
0MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL advancedtherapyofsouthflorida@gmail.com

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
SZ10809FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy of South Florida LLC Speech-Language Pathologist CurrentSince Apr 9, 2023 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": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1508561754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9399 NW 121ST TER",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184225",
            "telephone_number": "786-412-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 NW 121ST TER",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184225",
            "telephone_number": "786-412-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "advancedtherapyofsouthflorida@gmail.com",
            "affiliation": "N",
            "address_1": "9399 NW 121st Ter",
            "city": "Hialeah Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330184225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah Gardens, 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.