Individual provider Active NPI

Marisol Ferriss, SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1629363114
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11611 Issued in FL
Practice address
162 NE 25TH St Apt 813
Miami, FL 33137-5077
Phone
(305) 467-7686
NPI assigned
Jun 13, 2011
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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 SA11611 FL Primary

Addresses

Primary practice location

162 NE 25TH St Apt 813
Miami, FL 33137-5077

Mailing address

162 NE 25TH St Apt 813
Miami, FL 33137-5077
Phone (305) 467-7686

Other practice location 1

162 NE 25th St Apt 813
Miami, FL 33137-5077

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
SA11611FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
SLP in Motion LLC Speech-Language Pathologist CurrentSince Aug 18, 2019 Accepting new patients
A & E Mind Inc Past Accepting new patients

Organizations & group practices 2

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1629363114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 NE 25TH ST APT 813",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375077",
            "telephone_number": "305-467-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 NE 25TH ST APT 813",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375077",
            "telephone_number": "305-467-7686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 NE 25th St Apt 813",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331375077",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRISS",
        "first_name": "MARISOL",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.