Individual provider Active NPI

Shirley Alcide, MS CCC-SLP

  • Speech-Language Pathologist
  • Miramar, FL
National Provider Identifier
1689820904
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9353 Issued in FL
Practice address
2585 SW 83Rd Ter
Miramar, FL 33025-2981
Phone
(954) 433-4526
Fax
(954) 433-4526
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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 SA9353 FL Primary

Addresses

Primary practice location

2585 SW 83Rd Ter
Miramar, FL 33025-2981

Mailing address

2585 SW 83Rd Ter
Miramar, FL 33025-2981
Phone (954) 433-4526

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
SA9353FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1689820904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 SW 83RD TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252981",
            "telephone_number": "954-433-4526",
            "fax_number": "954-433-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 SW 83RD TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252981",
            "telephone_number": "954-433-4526",
            "fax_number": "954-433-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCIDE",
        "first_name": "SHIRLEY",
        "name_prefix": "Ms.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.