Individual provider Active NPI

Luz Adriana Mejia-Plata, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Hollywood, FL
National Provider Identifier
1710120076
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12074 Issued in FL
Practice address
53 Ash Dr
Hollywood, FL 33026-1102
Phone
(561) 767-4421
NPI assigned
Apr 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 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 SA12074 FL Primary

Addresses

Primary practice location

53 Ash Dr
Hollywood, FL 33026-1102

Mailing address

9710 Darlington PL
Cooper City, FL 33328-5800
Phone (917) 804-5551

Other identifiers 1

IdentifierTypeStateIssuer
008479500MedicaidFL

Other names 1

  • Luz Adriana Mejia-Plata Professional name

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
SA12074FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amee Cohen and Associates Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1710120076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 DARLINGTON PL",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333285800",
            "telephone_number": "917-804-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ASH DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261102",
            "telephone_number": "561-767-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA-PLATA",
        "first_name": "LUZ",
        "middle_name": "ADRIANA",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008479500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUZ",
            "last_name": "MEJIA-PLATA",
            "middle_name": "ADRIANA",
            "credential": "MS CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.