Individual provider Active NPI

Luz Esmeralda Gaona, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Ruskin, FL
National Provider Identifier
1699101998
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA13354 Issued in FL
Practice address
906 N US Highway 41 Ste B
Ruskin, FL 33570-3544
Phone
(813) 323-5783
Fax
(813) 303-1074
NPI assigned
Sep 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI449 FL
Speech-Language Pathologist 235Z00000X SA13354 FL Primary
Occupational Therapy Assistant 224Z00000X OTA18644 FL

Addresses

Primary practice location

906 N US Highway 41 Ste B
Ruskin, FL 33570-3544

Mailing address

906 N US Highway 41 Ste B
Ruskin, FL 33570-3544
Phone (813) 323-5783

Other identifiers 1

IdentifierTypeStateIssuer
013825800MedicaidFL

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OTA18644FLMDOccupational Therapy Assistant
SI449FLMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1699101998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 N US HIGHWAY 41 STE B",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335703544",
            "telephone_number": "813-323-5783",
            "fax_number": "813-303-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N US HIGHWAY 41 STE B",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335703544",
            "telephone_number": "813-323-5783",
            "fax_number": "813-303-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAONA",
        "first_name": "LUZ",
        "middle_name": "ESMERALDA",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI449",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13354",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA18644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013825800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.