Active NPI
Vanessa Bernal
- Speech-Language Pathologist
- Homestead, FL
National Provider Identifier
1801174750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12547
- Practice address
- 45 NW 8TH St Ste 104
Homestead, FL 33030-4452 - Phone
- (786) 601-2042
- NPI assigned
- Jul 26, 2011
- Last updated
- Apr 17, 2024
- 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 | SA12547 | FL | Primary |
Addresses
Primary practice location
45 NW 8TH St Ste 104
Homestead, FL 33030-4452
Mailing address
17670 NW 78TH Ave
Suite 113
Hialeah, FL 33015-3664
Phone (305) 512-5757
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 |
|---|---|---|---|
| SA12547 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1801174750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17670 NW 78TH AVE",
"address_2": "SUITE 113",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330153664",
"telephone_number": "305-512-5757",
"fax_number": "305-512-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 NW 8TH ST STE 104",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304452",
"telephone_number": "786-601-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.