Active NPI
Tamara Mishayev
- Speech-Language Pathologist
- Boca Raton, FL
National Provider Identifier
1518516582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ9169
- Practice address
- 551 NW 77TH St Ste 111
Boca Raton, FL 33487-1330 - Phone
- (561) 994-6590
- NPI assigned
- Sep 11, 2019
- Last updated
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ9169 | FL | Primary |
Addresses
Primary practice location
551 NW 77TH St Ste 111
Boca Raton, FL 33487-1330
Mailing address
4907 Midtown LN Apt 1316
Palm Beach Gardens, FL 33418-3415
Phone (201) 923-3177
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
| License | State | Type | Specialty |
|---|---|---|---|
| SZ9169 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1518516582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4907 MIDTOWN LN APT 1316",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334183415",
"telephone_number": "201-923-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 NW 77TH ST STE 111",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334871330",
"telephone_number": "561-994-6590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHAYEV",
"first_name": "TAMARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ9169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.