Active NPI
Wade Smith, M.S., CCC-SLP
- Speech-Language Pathologist
- Miami Lakes, FL
National Provider Identifier
1659623908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 5190 NW 167TH St
Suite 117
Miami Lakes, FL 33014-6328 - Phone
- (336) 375-2240
- NPI assigned
- Oct 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
5190 NW 167TH St
Suite 117
Miami Lakes, FL 33014-6328
Mailing address
5190 NW 167TH St
Suite 117
Miami Lakes, FL 33014-6328
Phone (336) 375-2240
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny Steps Pediatrics LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Smartherapy | Speech-Language Pathologist | Past | Accepting new patients |
| Vocational Development Group, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Hialeah, FL
- NPI 1528365442
-
- Behavior Analyst
- Davie, FL
- NPI 1811352099
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1659623908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5190 NW 167TH ST",
"address_2": "SUITE 117",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330146328",
"telephone_number": "336-375-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 NW 167TH ST",
"address_2": "SUITE 117",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330146328",
"telephone_number": "336-375-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WADE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-11",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.