Active NPI
Shieleash N Duran
- Speech-Language Pathologist
- Ocoee, FL
National Provider Identifier
1780898767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 11073
- Practice address
- 1277 Montheath Cir
Ocoee, FL 34761-9151 - Phone
- (407) 810-8744
- NPI assigned
- May 9, 2007
- Last updated
- Jun 6, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 11073 | FL | Primary |
| Developmental Therapist | 222Q00000X | NU |
Addresses
Primary practice location
1277 Montheath Cir
Ocoee, FL 34761-9151
Mailing address
1277 Montheath Cir
Ocoee, FL 34761-9151
Phone (407) 810-8744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812026900 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 11073 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1780898767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1277 MONTHEATH CIR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347619151",
"telephone_number": "407-810-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 MONTHEATH CIR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347619151",
"telephone_number": "407-810-8744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "SHIELEASH",
"middle_name": "N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 11073",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "812026900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.