Individual provider Active NPI

Taneshia Faye McMillion, SLA

  • Speech-Language Assistant
  • Margate, FL
National Provider Identifier
1780854091
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI 1394 Issued in FL
Practice address
5576 W Sample Rd
Margate, FL 33073-3423
Phone
(954) 974-2977
NPI assigned
Mar 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI 1394 FL Primary

Addresses

Primary practice location

5576 W Sample Rd
Margate, FL 33073-3423

Mailing address

7595 Hampton Blvd
N Lauderdale, FL 33068-5586
Phone (954) 234-2350

Other identifiers 1

IdentifierTypeStateIssuer
SI 1394OtherFLSPEECH THERAPY ASSISTANT

Other names 1

  • Mrs. Taneshia Faye Bredwood Other name

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
SI 1394FLMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1780854091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 HAMPTON BLVD",
            "city": "N LAUDERDALE",
            "state": "FL",
            "postal_code": "330685586",
            "telephone_number": "954-234-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5576 W SAMPLE RD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330733423",
            "telephone_number": "954-974-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLION",
        "first_name": "TANESHIA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "SLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI 1394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY ASSISTANT",
            "identifier": "SI 1394",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANESHIA",
            "last_name": "BREDWOOD",
            "middle_name": "FAYE",
            "prefix": "MRS.",
            "credential": "SLA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.