Active NPI
Anacarolina Berben, B.S.
- Speech-Language Assistant
- Wimauma, FL
National Provider Identifier
1528891306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI5427
- Practice address
- 707 W Lake Dr
Wimauma, FL 33598-3507 - Phone
- (813) 296-7122
- Fax
- (813) 303-1074
- NPI assigned
- Aug 26, 2024
- Last updated
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- No
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 Assistant | 2355S0801X | SI5427 | FL | Primary |
Addresses
Primary practice location
707 W Lake Dr
Wimauma, FL 33598-3507
Mailing address
707 W Lake Dr
Wimauma, FL 33598-3507
Phone (813) 296-7122
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI5427 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1528891306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 W LAKE DR",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335983507",
"telephone_number": "813-296-7122",
"fax_number": "813-303-1074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 W LAKE DR",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335983507",
"telephone_number": "813-296-7122",
"fax_number": "813-303-1074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERBEN",
"first_name": "ANACAROLINA",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI5427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wimauma, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.