Individual provider Active NPI

Cynthia Giselle Casaudoumecq

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1700436722
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9291 Issued in FL
Practice address
7762 N Kendall Dr
Miami, FL 33156-7523
Phone
(305) 598-0229
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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 9291 FL Primary

Addresses

Primary practice location

7762 N Kendall Dr
Miami, FL 33156-7523

Mailing address

10123 SW 156TH Ave
Miami, FL 33196-2689
Phone (305) 338-0504

Other practice location 1

10300 Sunset Dr
Miami, FL 33173-3012
Phone (786) 212-1399

Other practice location 2

1500 SW 37th Ave # 210
Coral Gables, FL 33134-4108
Phone (305) 448-0146

Other identifiers 1

IdentifierTypeStateIssuer
SZ9291MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccasaudoumecq@corahealth.com Direct

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

State licenses

LicenseStateTypeSpecialty
9291FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services, Inc PastSince Sep 15, 2019 Accepting new patients
Cora Health Services Inc PastSince Sep 15, 2019 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1700436722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10123 SW 156TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962689",
            "telephone_number": "305-338-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7762 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567523",
            "telephone_number": "305-598-0229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733012",
            "country_code": "US",
            "telephone_number": "786-212-1399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 SW 37th Ave # 210",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331344108",
            "country_code": "US",
            "telephone_number": "305-448-0146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASAUDOUMECQ",
        "first_name": "CYNTHIA",
        "middle_name": "GISELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "9291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SZ9291",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccasaudoumecq@corahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7762 N Kendall Dr",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331567523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 12, 2019; 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.