Active NPI
Antoria Yates
- Speech-Language Pathologist
- Bradenton, FL
National Provider Identifier
1649812348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL61588923
- Practice address
- 11821 18TH PL E Unit 212
Bradenton, FL 34211-5095 - Phone
- (863) 244-9703
- NPI assigned
- Oct 14, 2019
- Last updated
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL61588923 | WA | Primary |
| Speech-Language Assistant | 2355S0801X |
Addresses
Primary practice location
11821 18TH PL E Unit 212
Bradenton, FL 34211-5095
Mailing address
4451 Parliament PL Ste a
Lanham, MD 20706-1868
Other practice location 1
13202 Amelias Grove Ct
Bowie, MD 20720-4488
Phone (863) 244-9703
Other practice location 2
13202 Amelias Grove Ct
Bowie, MD 20720-4488
Phone (863) 244-9703
Other practice location 3
4451 Parliament Pl Ste A
Lanham, MD 20706-1868
Phone (301) 577-4333
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
| License | State | Type | Specialty |
|---|---|---|---|
| LL61588923 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1649812348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4451 PARLIAMENT PL STE A",
"city": "LANHAM",
"state": "MD",
"postal_code": "207061868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11821 18TH PL E UNIT 212",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342115095",
"telephone_number": "863-244-9703"
}
],
"practiceLocations": [
{
"address_1": "13202 Amelias Grove Ct",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207204488",
"country_code": "US",
"telephone_number": "863-244-9703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13202 Amelias Grove Ct",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207204488",
"country_code": "US",
"telephone_number": "863-244-9703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4451 Parliament Pl Ste A",
"address_purpose": "LOCATION",
"city": "Lanham",
"state": "MD",
"postal_code": "207061868",
"country_code": "US",
"telephone_number": "301-577-4333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YATES",
"first_name": "ANTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-14",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL61588923",
"primary": true
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.