Individual provider Active NPI

Martha Yanedt Pinzon, SLP

  • Speech-Language Pathologist
  • Princeton, FL
National Provider Identifier
1659602480
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14725 Issued in FL
Practice address
11751 SW 235TH St
Princeton, FL 33032-6026
Phone
(306) 492-9627
NPI assigned
Jan 18, 2010
Last updated
Mar 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Speech-Language Pathologist 235Z00000X SA14725 FL Primary

Addresses

Primary practice location

11751 SW 235TH St
Princeton, FL 33032-6026

Mailing address

11751 SW 235TH St
Princeton, FL 33032-6026
Phone (305) 492-9627

Other identifiers 1

IdentifierTypeStateIssuer
002869100MedicaidFL

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
SA14725FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Together Speech Therapy Services Speech-Language Pathologist CurrentSince Mar 17, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1659602480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 SW 235TH ST",
            "city": "PRINCETON",
            "state": "FL",
            "postal_code": "330326026",
            "telephone_number": "305-492-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 SW 235TH ST",
            "city": "PRINCETON",
            "state": "FL",
            "postal_code": "330326026",
            "telephone_number": "306-492-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINZON",
        "first_name": "MARTHA",
        "middle_name": "YANEDT",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002869100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.