Monica Marlene Vides

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

2904 Ponce Crest Dr
Saint Cloud, FL 34772-8955

Phone

(689) 210-9602

NPI assigned

Jul 27, 2021

Last updated

Sep 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Connection Therapy LLC

  • Early Intervention Provider Agency
  • Longwood, FL
  • NPI 1720144371

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1821761784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 PONCE CREST DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 PONCE CREST DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728955",
            "telephone_number": "689-210-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDES",
        "first_name": "MONICA",
        "middle_name": "MARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria M Venerio
• Shamelys Ventura
• Mariatu A Verla, MD, MPH
• Melanie Victorino de Armas
• Liuba Vidal
• Daniela Sinai Viera-Antoinma
• Ana Villalba-Ramirez
• Hector Johann Villamizar Diaz
• Fabio E. Villegas, M.D.
• Lisa Magaly Vivo, ED.S.

• Developmental Therapist in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.