Megan Miller Sypolt, MA CCC/SLP

Key facts

NPI

1619007531

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

SA8548 (FL)

Practice address

4820 Innisbrook CT S
Elkton, FL 32033-2067

Phone

(904) 217-5437

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Arts

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 9, 2015.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1619007531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 INNISBROOK CT S",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320332067",
            "telephone_number": "904-217-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 INNISBROOK CT S",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320332067",
            "telephone_number": "904-217-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYPOLT",
        "first_name": "MEGAN",
        "middle_name": "MILLER",
        "credential": "MA CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891103700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, FL

• Ashley Moody
• Elizabeth Norton, PT
• Stacia R Purcell, RD, LD, CDCES
• Sensational Occupational Therapy,LLC
• Smartermeds, PLLC.
• Tabitha Lynn Taylor, LMT, RYT 200
• The Behavior Resource LLC
• The Speech Therapy Closet
• Alodia Willis

All providers in Elkton, FL · Speech-Language Pathologist in Florida