Gisele Ducher Azerad, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA2958 Issued in FL

Practice address

1550 Killingsworth Way
The Villages, FL 32162-2175

Phone

(352) 674-3500

NPI assigned

Jan 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1730653148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HERONS RUN DR APT 503",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321747",
            "telephone_number": "941-685-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 KILLINGSWORTH WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622175",
            "telephone_number": "352-674-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZERAD",
        "first_name": "GISELE",
        "middle_name": "DUCHER",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audiology Services Company USA, LLC
• Dylan Aukamp
• Laura Lea Aul, APRN
• Anfil M Aurich Mancebo, MD
• Aviv Villages LLC
• Kelly Babinsack
• Venkata C Babu Chittuluru, MD
• Ellen R. Bachmeyer, LCSW
• Melissa Ellen Bachoura, CRNP
• Suzanne Marie Backstrom, PT

• Speech-Language Pathologist in The Villages, FL
• Providers in The Villages, 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 Jan 18, 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.