Active NPI
Priscilla Echevarria
- Speech-Language Pathologist
- Miami Lakes, FL
National Provider Identifier
1770150310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ10105
- Practice address
- 15485 Eagle Nest LN Ste 220
Miami Lakes, FL 33014-2222 - Phone
- (786) 477-5783
- NPI assigned
- Jun 10, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI3479 | FL | |
| Speech-Language Pathologist | 235Z00000X | SZ10105 | FL | Primary |
Addresses
Primary practice location
15485 Eagle Nest LN Ste 220
Miami Lakes, FL 33014-2222
Mailing address
125 E 37TH St
Hialeah, FL 33013-2643
Phone (305) 510-8252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9183 | Other | FL | FLORIDA DEP. OF HEALTH SLPA CONTROL #. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI3479 | FL | MD | Speech-Language Assistant |
| SZ10105 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1770150310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E 37TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330132643",
"telephone_number": "305-510-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15485 EAGLE NEST LN STE 220",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142222",
"telephone_number": "786-477-5783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHEVARRIA",
"first_name": "PRISCILLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI3479",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ10105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEP. OF HEALTH SLPA CONTROL #.",
"identifier": "9183",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.