Individual provider Active NPI

Stephanie Victoria Azan, M.S. CF-SLP

  • Speech-Language Pathologist
  • South Miami, FL
National Provider Identifier
1669192027
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ10826 Issued in FL
Practice address
7210 SW 57TH Ave Ste 216
South Miami, FL 33143-5321
Phone
(305) 668-3596
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ10826 FL Primary

Addresses

Primary practice location

7210 SW 57TH Ave Ste 216
South Miami, FL 33143-5321

Mailing address

9394 SW 77TH Ave Apt F8
Miami, FL 33156-7960
Phone (786) 426-4779

Other practice location 1

8755 SW 32nd St
Miami, FL 33165-3291
Phone (305) 221-2722

Other practice location 2

7270 SW 120th St
Pinecrest, FL 33156-4659
Phone (305) 238-7562

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

State licenses

LicenseStateTypeSpecialty
SZ10826FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1669192027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9394 SW 77TH AVE APT F8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567960",
            "telephone_number": "786-426-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 SW 57TH AVE STE 216",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435321",
            "telephone_number": "305-668-3596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8755 SW 32nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331653291",
            "country_code": "US",
            "telephone_number": "305-221-2722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7270 SW 120th St",
            "address_purpose": "LOCATION",
            "city": "Pinecrest",
            "state": "FL",
            "postal_code": "331564659",
            "country_code": "US",
            "telephone_number": "305-238-7562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZAN",
        "first_name": "STEPHANIE",
        "middle_name": "VICTORIA",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.