Ivana Davinic

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13284 Issued in FL

Practice address

1166 Kane Concourse Ste 202
Bay Harbor Islands, FL 33154-2023

Phone

(305) 866-1966

NPI assigned

Aug 25, 2014

Last updated

Oct 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Therapy Center

  • Speech-Language Pathologist
  • Bay Harbor Islands, FL
  • NPI 1629321138
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1689074866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS POINT DR APT 814",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604728",
            "telephone_number": "305-515-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 KANE CONCOURSE STE 202",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542023",
            "telephone_number": "305-866-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVINIC",
        "first_name": "IVANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Manuel Colom, R.N.BSN
• Dawn Marie Cooperman, NP
• Coral J Villanueva DPM PA
• Anthony Gerard Corbo, D.D.S.
• Menachem Dahan, RMHCI
• Arlen De Armas, SLPA
• DG Heritage Medical Services ,LLC
• Oliver R Di Pietro, M.D.
• Diane Walder Mdpa
• Diane Walder Mdpa

• Speech-Language Pathologist in Bay Harbor Islands, FL
• Providers in Bay Harbor Islands, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.