Active NPI
Frecia Astrid Penarredonda, M.S.,CCC-SLP
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1740345784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA9446
- Practice address
- 14841 SW 42ND Ter
Miami, FL 33185-4374 - Phone
- (786) 253-4430
- Fax
- (888) 752-0784
- NPI assigned
- Dec 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA9446 | FL | Primary |
Addresses
Primary practice location
14841 SW 42ND Ter
Miami, FL 33185-4374
Mailing address
14841 SW 42ND Ter
Miami, FL 33185-4374
Phone (786) 253-4430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000243700 | Medicaid | FL |
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 |
|---|---|---|---|
| SA9446 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403395200000",
"number": "1740345784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14841 SW 42ND TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854374",
"telephone_number": "786-253-4430",
"fax_number": "888-752-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14841 SW 42ND TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854374",
"telephone_number": "786-253-4430",
"fax_number": "888-752-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENARREDONDA",
"first_name": "FRECIA",
"middle_name": "ASTRID",
"name_prefix": "Mrs.",
"credential": "M.S.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2014-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA9446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000243700",
"state": "FL"
}
],
"endpoints": [],
"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 Jun 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.