Individual provider Active NPI

Amanda Shelby Alvarez, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Coconut Grove, FL
National Provider Identifier
1679694384
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 7717 Issued in FL
Practice address
2780 SW 37TH Ave
Suite 205
Coconut Grove, FL 33133-2740
Phone
(305) 333-1414
Fax
(786) 552-0028
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

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
SA 7717FLMDSpeech-Language Pathologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 7717 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

2780 SW 37TH Ave
Suite 205
Coconut Grove, FL 33133-2740

Mailing address

2780 SW 37TH Ave
Suite 205
Coconut Grove, FL 33133-2740
Phone (305) 333-1414

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679694384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 SW 37TH AVE",
            "address_2": "SUITE 205",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332740",
            "telephone_number": "305-333-1414",
            "fax_number": "786-552-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SW 37TH AVE",
            "address_2": "SUITE 205",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332740",
            "telephone_number": "305-333-1414",
            "fax_number": "786-552-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "AMANDA",
        "middle_name": "SHELBY",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 7717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.