Individual provider Active NPI

Janisse Marie Martinez Santos Sr., SLPA

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1558836866
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3691 Issued in FL
Practice address
6900 S Orange Blossom TRL Ste 102
Orlando, FL 32809-5734
Phone
(321) 445-1287
NPI assigned
Oct 12, 2018
Last updated
Oct 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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 3691 FL Primary

Addresses

Primary practice location

6900 S Orange Blossom TRL Ste 102
Orlando, FL 32809-5734

Mailing address

958 Village TRL Apt 806
Port Orange, FL 32127-4733
Phone (787) 669-1813

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
3691FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk Active Corporation Speech-Language Pathologist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1558836866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 VILLAGE TRL APT 806",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274733",
            "telephone_number": "787-669-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 S ORANGE BLOSSOM TRL STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095734",
            "telephone_number": "321-445-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ SANTOS",
        "first_name": "JANISSE",
        "middle_name": "MARIE",
        "name_suffix": "Sr.",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "3691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.