Individual provider Active NPI

Akyko West, STA

  • Speech-Language Pathologist
  • Palmetto Bay, FL
National Provider Identifier
1639378136
Registry record updated Sep 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5012 Issued in SC
Practice address
18001 Old Cutler Rd
Suite 354
Palmetto Bay, FL 33157-6422
Phone
(305) 251-7477
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 11035 FL
Speech-Language Pathologist 235Z00000X 5012 SC Primary

Addresses

Primary practice location

18001 Old Cutler Rd
Suite 354
Palmetto Bay, FL 33157-6422

Mailing address

2188 Brewster Dr
Suite 637
Myrtle Beach, SC 29577-1750
Phone (305) 297-4106

Other identifiers 1

IdentifierTypeStateIssuer
8882622000MedicaidFL

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
5012SCMDCertified Respiratory Therapist
SA 11035FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healis Rehabilitation Center 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409961600000",
    "number": "1639378136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 BREWSTER DR",
            "address_2": "SUITE 637",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771750",
            "telephone_number": "305-297-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 OLD CUTLER RD",
            "address_2": "SUITE 354",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576422",
            "telephone_number": "305-251-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "AKYKO",
        "credential": "STA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2014-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 11035",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8882622000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2014; 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.