Johanexis O'Neill

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI2385 Issued in FL

Practice address

1200 N Central Ave Ste 110
Kissimmee, FL 34741-4439

Phone

(407) 201-7429

NPI assigned

Sep 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1548047400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 CLIPPER COVE LN APT 201",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347410868",
            "telephone_number": "786-575-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N CENTRAL AVE STE 110",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414439",
            "telephone_number": "407-201-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "JOHANEXIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI2385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glendora Ruth Nye, RN
• Thomas W O'Brien, MD
• Susan Ann O'Dea
• Braylee Ann O'Gorman
• Reginald O'Neal Jr.
• Oaks of Kissimmee Operations LLC
• Oasis Imaging Inc
• Oasis Medical Services Inc
• Oasis United Transformation Community
• OB Hospitalist Group LLC

• Speech-Language Assistant in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.