Active NPI
Joanna Valladares
- Speech-Language Assistant
- Boca Raton, FL
National Provider Identifier
1780153254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI3554
- Practice address
- 5970 SW 18TH St Ste E6-E7
Boca Raton, FL 33433-7197 - Phone
- (303) 909-8919
- NPI assigned
- Nov 14, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI3554 | FL | Primary |
Addresses
Primary practice location
5970 SW 18TH St Ste E6-E7
Boca Raton, FL 33433-7197
Mailing address
1431 SW 82ND Ave Apt 1522
Plantation, FL 33324-3233
Phone (939) 219-5639
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 |
|---|---|---|---|
| SI3554 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1780153254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 SW 82ND AVE APT 1522",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243233",
"telephone_number": "939-219-5639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5970 SW 18TH ST STE E6-E7",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337197",
"telephone_number": "303-909-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLADARES",
"first_name": "JOANNA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-14",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI3554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.