Individual provider Active NPI

Annette M Betancourt del Valle

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1831438738
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12498 Issued in FL
Practice address
10300 SW 72ND St Ste 358
Miami, FL 33173-3020
Phone
(786) 313-3541
NPI assigned
Feb 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA12498 FL Primary

Addresses

Primary practice location

10300 SW 72ND St Ste 358
Miami, FL 33173-3020

Mailing address

10300 SW 72ND Street
Suite 358
Miami, FL 33173-3029
Phone (786) 553-7032

Other practice location 1

6401 SW 87th Ave
Suite 114
Miami, FL 33173-2500
Phone (305) 934-2689

Other identifiers 1

IdentifierTypeStateIssuer
008257100MedicaidFL

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
SA12498FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Therapy Group LLC Speech-Language Pathologist CurrentSince Jul 24, 2022 Accepting new patients

Locations

10300 SW 72nd St
Ste 358
Miami, FL 33173
Phone (786) 313-3541

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831438738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND STREET",
            "address_2": "SUITE 358",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733029",
            "telephone_number": "786-553-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 358",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733020",
            "telephone_number": "786-313-3541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 SW 87th Ave",
            "address_2": "Suite 114",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331732500",
            "country_code": "US",
            "telephone_number": "305-934-2689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT DEL VALLE",
        "first_name": "ANNETTE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008257100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.