Active NPI
Nancy Mahecha, PH.D, CCC-SLP
- Speech-Language Pathologist
- Aventura, FL
National Provider Identifier
1780768283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 78
- Practice address
- 20704 W Dixie Hwy
Aventura, FL 33180-1146 - Phone
- (305) 933-5887
- Fax
- (305) 933-8991
- NPI assigned
- Oct 24, 2006
- 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 | SA 78 | FL | Primary |
Addresses
Primary practice location
20704 W Dixie Hwy
Aventura, FL 33180-1146
Mailing address
11933 SW 12TH CT
Davie, FL 33325-3802
Phone (305) 933-5887
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 78 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780768283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11933 SW 12TH CT",
"city": "DAVIE",
"state": "FL",
"postal_code": "333253802",
"telephone_number": "305-933-5887",
"fax_number": "305-933-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20704 W DIXIE HWY",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801146",
"telephone_number": "305-933-5887",
"fax_number": "305-933-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHECHA",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "PH.D, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 78",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.