Individual provider Active NPI

Marisa Beryl Shilling, M.S.

  • Speech-Language Pathologist
  • Jupiter, FL
National Provider Identifier
1639459043
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1426 Sunshine Dr
Jupiter, FL 33458-8777
Phone
(561) 351-4103
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 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 Primary

Addresses

Primary practice location

1426 Sunshine Dr
Jupiter, FL 33458-8777

Mailing address

1426 Sunshine Dr
Jupiter, FL 33458-8777
Phone (561) 351-4103

Other practice location 1

950 Peninsula Corporate Cir
Suite 1014
Boca Raton, FL 33487-1378
Phone (561) 351-4103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110902000121 FL Practitioner - Qualified Speech Language Pathologist 1557531373 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leverage Health IncGroup PAC ID 4688860513, 32 clinicians

Practice addresses (Care Compare)

6018 SW 18TH St
Suite C 11
Boca Raton, FL 33433-7166
Phone (561) 430-5345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Speech and Swallow Speech-Language Pathologist CurrentSince Apr 8, 2018 Accepting new patients
Premier Speech & Language Associates Speech-Language Pathologist CurrentSince Aug 15, 2017 Accepting new patients
Speech Rehab Services LLC Past Accepting new patients
Suely Corp Speech-Language Pathologist PastSince May 11, 2010 Accepting new patients
Integrated Speech Therapy LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 6

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": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1639459043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 SUNSHINE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588777",
            "telephone_number": "561-351-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 SUNSHINE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588777",
            "telephone_number": "561-351-4103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Peninsula Corporate Cir",
            "address_2": "Suite 1014",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334871378",
            "country_code": "US",
            "telephone_number": "561-351-4103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHILLING",
        "first_name": "MARISA",
        "middle_name": "BERYL",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.