Mayomy Annette Villafane, ST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146005537 Issued in IL

Practice address

11523 NW 6TH CT
Coral Springs, FL 33071-4117

Phone

(954) 753-7650

Fax

(954) 753-7650

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Children'S Therapy Zone, Inc

  • Early Intervention Provider Agency
  • Coral Springs, FL
  • NPI 1508373085
  NPD (past) Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1720112972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11523 NW 6TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714117",
            "telephone_number": "954-753-7650",
            "fax_number": "954-753-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11523 NW 6TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714117",
            "telephone_number": "954-753-7650",
            "fax_number": "954-753-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANE",
        "first_name": "MAYOMY",
        "middle_name": "ANNETTE",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005537",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000546300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000259200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103034",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richardson Kovalski Viaud
• Vida Healing
• Aisha Vielot, APRN,FNP-BC,PMHNP-BC
• Vijaya L Babu MD PA
• Dora Vilk-Shapiro, D.M.D., F.A.G.D.
• Kara Elizabeth Villanella
• Arturo Villanueva
• Vincent a. Bilello DC PA
• Mark Vinson
• Tennille Gabriel Violandi, LMHC

• Speech-Language Pathologist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.