Individual provider Active NPI

Madelyn Bravo Rodriguez

  • Speech-Language Assistant
  • West Palm Beach, FL
National Provider Identifier
1770717985
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
2355S0801X Issued in FL
Practice address
1927 Abbey Rd Apt 606
West Palm Beach, FL 33415-7518
Phone
(561) 584-3449
Fax
(561) 966-7599
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X
Speech-Language Assistant 2355S0801X FL
Speech-Language Assistant 2355S0801X 2355S0801X FL Primary

Addresses

Primary practice location

1927 Abbey Rd Apt 606
West Palm Beach, FL 33415-7518

Mailing address

1927 Abbey Road Apt 606
West Palm Beach, FL 33415
Phone (561) 584-3449

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

LicenseStateTypeSpecialty
2355S0801XFLMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1770717985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 ABBEY ROAD APT 606",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33415",
            "telephone_number": "561-584-3449",
            "fax_number": "561-966-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 ABBEY RD APT 606",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157518",
            "telephone_number": "561-584-3449",
            "fax_number": "561-966-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO RODRIGUEZ",
        "first_name": "MADELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "2355S0801X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.