Mariah Pearson

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

1451 Lakemist LN
Clermont, FL 34711-5378

Phone

(407) 818-2406

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Deg Enterprises LLC

  • Speech-Language Pathologist
  • Clermont, FL
  • NPI 1245998681

  Early Intervention Provider Agency

  NPD

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1861191140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 VALENCIA VISTA WAY APT 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254761",
            "telephone_number": "440-231-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 LAKEMIST LN",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115378",
            "telephone_number": "407-818-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MARIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PC Endo South PA
• PC Endo South PA
• PCP Clermont Opco LLC
• PCR-X Logistics LLC
• Peace in It Togeather
• Kelly Pecora
• Ryan Pederson, ATC, LAT
• Pediatric Services of America, LLC
• Pediatrix Medical Group of Florida Inc
• Jessica Lee Pedraza

• Early Intervention Provider Agency in Clermont, FL
• Providers in Clermont, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.