Individual provider Active NPI

Susan Hart, SLP

  • Speech-Language Pathologist
  • Palmetto Bay, FL
National Provider Identifier
1770815102
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA7950 Issued in FL
Practice address
18001 Old Cutler Rd
Suite 368
Palmetto Bay, FL 33157-6422
Phone
(305) 251-7477
Fax
(305) 251-7475
NPI assigned
Feb 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA7950 FL Primary

Addresses

Primary practice location

18001 Old Cutler Rd
Suite 368
Palmetto Bay, FL 33157-6422

Mailing address

18001 Old Cutler Rd
Suite 368
Palmetto Bay, FL 33157-6422
Phone (305) 251-7477

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
SA7950FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healis Rehabilitation Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1770815102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 OLD CUTLER RD",
            "address_2": "SUITE 368",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576422",
            "telephone_number": "305-251-7477",
            "fax_number": "305-251-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 OLD CUTLER RD",
            "address_2": "SUITE 368",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576422",
            "telephone_number": "305-251-7477",
            "fax_number": "305-251-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "SUSAN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.