Active NPI
Krystal Maree Tapia, M.S., CCC-SLP
- Speech-Language Pathologist
- Miramar, FL
National Provider Identifier
1760951990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA14978
- Practice address
- 12246 Miramar Pkwy
Miramar, FL 33025-7016 - Phone
- (954) 517-8933
- NPI assigned
- Nov 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 | SA14978 | FL | Primary |
Addresses
Primary practice location
12246 Miramar Pkwy
Miramar, FL 33025-7016
Mailing address
12246 Miramar Pkwy
Miramar, FL 33025-7016
Phone (954) 517-8933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA14978 | Other | FL | FLORIDA LICENSE |
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 |
|---|---|---|---|
| SA14978 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1760951990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12246 MIRAMAR PKWY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330257016",
"telephone_number": "954-517-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12246 MIRAMAR PKWY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330257016",
"telephone_number": "954-517-8933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPIA",
"first_name": "KRYSTAL",
"middle_name": "MAREE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA14978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "SA14978",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.