Individual provider Active NPI

Emily Kathryn Byrd, CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1881103406
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA15634 Issued in FL
Practice address
520 NW 165TH St Ste 205
Miami, FL 33169-6343
Phone
(786) 623-4053
NPI assigned
Sep 26, 2017
Reactivated
Sep 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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 SA15634 FL Primary

Addresses

Primary practice location

520 NW 165TH St Ste 205
Miami, FL 33169-6343

Mailing address

770 Claughton Island Dr Apt 1711
Miami, FL 33131-2631
Phone (302) 381-9073

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
SA15634FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1881103406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 CLAUGHTON ISLAND DR APT 1711",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312631",
            "telephone_number": "302-381-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NW 165TH ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696343",
            "telephone_number": "786-623-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "EMILY",
        "middle_name": "KATHRYN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2023-09-14",
        "certification_date": "2022-06-08",
        "deactivation_date": "2022-06-08",
        "reactivation_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15634",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 14, 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.