Organization Active NPI

Speech & Language by Angelica, Corp.

  • Hearing and Speech Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1639496375
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SPEECH & LANGUAGE BY ANGELICA, CORP.
Practice address
819 SW 147TH Ave
Pembroke Pines, FL 33027-6127
Phone
(954) 709-5403
Fax
(954) 589-1475
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Mrs. Angela Shetrompf, M.S., CCC- SLP
Title
Speech and Language Pathologist
Phone
(954) 709-5403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

819 SW 147TH Ave
Pembroke Pines, FL 33027-6127

Mailing address

819 SW 147TH Ave
Pembroke Pines, FL 33027-6127
Phone (954) 709-5403

Other identifiers 1

IdentifierTypeStateIssuer
001470600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1639496375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SW 147TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276127",
            "telephone_number": "954-709-5403",
            "fax_number": "954-589-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SW 147TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276127",
            "telephone_number": "954-709-5403",
            "fax_number": "954-589-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH & LANGUAGE BY ANGELICA, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "SHETROMPF",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "954-709-5403",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC- SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001470600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.