Individual provider Active NPI

Valerie N Pitaluga, MS, CCC-SLP

  • Speech-Language Pathologist
  • Plantation, FL
National Provider Identifier
1679113187
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA16976 Issued in FL
Practice address
8201 Peters Rd Ste 1000
Plantation, FL 33324-3266
Phone
(786) 361-8073
Fax
(786) 442-3644
NPI assigned
Jan 13, 2020
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 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 SA16976 FL Primary

Addresses

Primary practice location

8201 Peters Rd Ste 1000
Plantation, FL 33324-3266

Mailing address

8201 Peters Rd Ste 1000
Plantation, FL 33324-3266
Phone (786) 361-8073

Other identifiers 1

IdentifierTypeStateIssuer
105339900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720003065 FL Practitioner - Qualified Speech Language Pathologist 5799187811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Valerieco LLC Multi-Specialty CurrentSince Jan 15, 2020 Accepting new patients

Locations

301 NW 84th Ave
Ste 208
Plantation, FL 33324
Phone (954) 937-9559

8250 Peters Rd
Plantation, FL 33324
Phone (786) 361-8073

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1679113187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PETERS RD STE 1000",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243266",
            "telephone_number": "786-361-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PETERS RD STE 1000",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243266",
            "telephone_number": "786-361-8073",
            "fax_number": "786-442-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITALUGA",
        "first_name": "VALERIE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105339900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.