Organization Active NPI

Crea Speech and Language Therapy, LLC

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1699032698
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 10156 Issued in FL
Legal business name
CREA SPEECH AND LANGUAGE THERAPY, LLC
Practice address
2368 SW 26TH St
Miami, FL 33133-2306
Phone
(786) 344-8175
Fax
(305) 857-9788
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Martinica Barrionuevo
Title
Speech and Language Pathologist
Phone
(786) 344-8175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA 10156 FL Primary

Addresses

Primary practice location

2368 SW 26TH St
Miami, FL 33133-2306

Mailing address

2368 SW 26TH St
Miami, FL 33133-2306
Phone (786) 344-8175

Other identifiers 1

IdentifierTypeStateIssuer
000631000MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1699032698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332306",
            "telephone_number": "786-344-8175",
            "fax_number": "305-857-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2368 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332306",
            "telephone_number": "786-344-8175",
            "fax_number": "305-857-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREA SPEECH AND LANGUAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "BARRIONUEVO",
        "authorized_official_first_name": "MARTINICA",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "786-344-8175"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 10156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000631000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.