Active NPI
Maybelin Carmona, M.S., CCC-SLP
- Speech-Language Pathologist
- Kissimmee, FL
National Provider Identifier
1730599424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 025422
- Practice address
- 4476 Lumberdale Rd
Kissimmee, FL 34746-3310 - Phone
- (646) 736-9096
- NPI assigned
- May 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA17762 | FL | |
| Speech-Language Pathologist | 235Z00000X | SP29967 | CA | |
| Speech-Language Pathologist | 235Z00000X | 025422 | NY | Primary |
Addresses
Primary practice location
4476 Lumberdale Rd
Kissimmee, FL 34746-3310
Mailing address
4476 Lumberdale Rd
Kissimmee, FL 34746-3310
Phone (646) 736-9096
Other practice location 1
3100 47th Ave Unit 2
Long Island City, NY 11101-3068
Phone (718) 593-4121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 932368270 | Other | GHI-EMBLEM HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP29967 | CA | MD | Speech-Language Pathologist |
| SA17762 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Speaking Rehab Specialists LLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Kissimmee, FL
- NPI 1427714401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1730599424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4476 LUMBERDALE RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463310",
"telephone_number": "646-736-9096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4476 LUMBERDALE RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463310",
"telephone_number": "646-736-9096"
}
],
"practiceLocations": [
{
"address_1": "3100 47th Ave Unit 2",
"address_purpose": "LOCATION",
"city": "Long Island City",
"state": "NY",
"postal_code": "111013068",
"country_code": "US",
"telephone_number": "718-593-4121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARMONA",
"first_name": "MAYBELIN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-02",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA17762",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP29967",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "025422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI-EMBLEM HEALTH",
"identifier": "932368270",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.