Dina Decosta Bank, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 5317 Issued in FL

Practice address

12701 W Sunrise Blvd
Sunrise, FL 33323-0907

Phone

(954) 792-8772

NPI assigned

Jan 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Easter Seals of South Florida

  • Speech-Language Pathologist
  • Sunrise, FL
  • NPI 1003039744
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649326919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BANYAN WAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333271623",
            "telephone_number": "954-659-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 W SUNRISE BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230907",
            "telephone_number": "954-792-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANK",
        "first_name": "DINA",
        "middle_name": "DECOSTA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 5317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "85-8012647 130C-1",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony F Baldocchi, STUDENT
• Junalyn Ducducan Baligasa
• Dhruv R. Balkundi, MD
• Carlos Enrique Ballestas, MD
• Reigna Paula Felix Balmaceda, PTRP, RPT
• Andrea Bauer Banta, CRN
• Baptist Health Urgent Care Sawgrass
• Baptist Surgery and Endoscopy Centers LLC (Baptist Eye Surgery Center at Sunrise)
• Haley Baran
• Nelly Barba, MS

• Speech-Language Pathologist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.