Individual provider Active NPI

Carolina Carmona

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1629436043
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA17527 Issued in FL
Practice address
1201 NE 191St St Apt 402
Miami, FL 33179-4063
Phone
(786) 499-9762
NPI assigned
Jan 29, 2016
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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 SA17527 FL Primary

Addresses

Primary practice location

1201 NE 191St St Apt 402
Miami, FL 33179-4063

Mailing address

1201 NE 191St St Apt 402
Miami, FL 33179-4063
Phone (786) 499-9762

Other practice location 1

16738 87th Ln N
Loxahatchee, FL 33470-1732
Phone (786) 901-0289

Other practice location 2

4401 NW 170th St
Miami Gardens, FL 33055-4330
Phone (786) 901-0289

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
SA17527FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Speech & Language Therapy Services LLC Speech-Language Pathologist CurrentSince Nov 18, 2025 Accepting new patients
Carolinas Speech & Language Therapy Services LLC Speech-Language Pathologist CurrentSince Nov 18, 2025 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": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1629436043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NE 191ST ST APT 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794063",
            "telephone_number": "786-499-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NE 191ST ST APT 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794063",
            "telephone_number": "786-499-9762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16738 87th Ln N",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334701732",
            "country_code": "US",
            "telephone_number": "786-901-0289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 NW 170th St",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330554330",
            "country_code": "US",
            "telephone_number": "786-901-0289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMONA",
        "first_name": "CAROLINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17527",
            "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 Oct 14, 2026; 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.