NPIMap

Organization Active NPI

Emerald Coast Autism Center

  • Speech-Language Pathologist
  • Valparaiso, FL
National Provider Identifier
1760852172
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ7329 Issued in FL
Legal business name
EMERALD COAST AUTISM CENTER
Practice address
315 Edge Ave
Valparaiso, FL 32580-1807
Phone
(850) 279-3000
Fax
(850) 389-2269
NPI assigned
Sep 28, 2015
Last updated
Sep 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Mrs. Beth Leeper
Title
Office Manager
Phone
(850) 279-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ7329 FL Primary

Addresses

Primary practice location

315 Edge Ave
Valparaiso, FL 32580-1807

Mailing address

315 Edge Ave
Valparaiso, FL 32580-1807
Phone (850) 279-3000

National Provider Directory

National Provider Directory
Tax ID family
Emerald Coast Autism Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

315 Edge Ave
Valparaiso, FL 32580
Phone (850) 279-3000

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1760852172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 EDGE AVE",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801807",
            "telephone_number": "850-279-3000",
            "fax_number": "850-389-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 EDGE AVE",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801807",
            "telephone_number": "850-279-3000",
            "fax_number": "850-389-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "LEEPER",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-279-3000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ7329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.