Coastal Dysphagia Solutions Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

COASTAL DYSPHAGIA SOLUTIONS INC

Practice address

520 SW 15TH St
Cape Coral, FL 33991-2736

Phone

(239) 763-0353

NPI assigned

Jul 20, 2023

Last updated

Jul 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Vanessa Martinez, MS, CCC-SLPNPI 1134439805

Title

Speech-Language Pathologist/Owner

Phone

(239) 763-0353

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vanessa Martinez, MS, CCC-SLP

  • Speech-Language Pathologist
  • Hialeah, FL
  • NPI 1134439805
  NPD Authorized official

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1518647817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 SW PINE ISLAND RD",
            "address_2": "STE 42 #441",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33991",
            "telephone_number": "239-763-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SW 15TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912736",
            "telephone_number": "239-763-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DYSPHAGIA SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "239-763-0353",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134439805",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Close
• Maude Clouse, MS CCC-SLP
• Caitlin Coakley, COTA/L
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• Coastal Physicians Inc (Coastal Urgent Care Centers)
• Alyssa Cella Coates, LCSW
• Philip Andrew Cobb, D.C.
• Allison Cobian, LMHC
• Kaley Coburger

• Speech-Language Pathologist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.