Individual provider Active NPI

Crismary Burgos

  • Speech-Language Pathologist
  • Homestead, FL
National Provider Identifier
1629461231
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ7055 Issued in FL
Practice address
2561 SE 11TH CT
Homestead, FL 33035
Phone
(787) 702-8667
NPI assigned
Mar 7, 2015
Last updated
Jun 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 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 SZ7055 FL Primary

Addresses

Primary practice location

2561 SE 11TH CT
Homestead, FL 33035

Mailing address

2561 SE 11TH CT
Homestead, FL 33035-2127

Other practice location 1

HC 1 Box 5452
Orocovis, PR 00720-9227
Phone (787) 702-8667

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
SZ7055FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cady Therapy Service Inc. 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": "1425686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1629461231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 SE 11TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 SE 11TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33035",
            "telephone_number": "787-702-8667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HC 1 Box 5452",
            "address_purpose": "LOCATION",
            "city": "Orocovis",
            "state": "PR",
            "postal_code": "007209227",
            "country_code": "US",
            "telephone_number": "787-702-8667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "CRISMARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-07",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ7055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.