Paula Andrea Uribe Mejia, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA17652 Issued in FL

Practice address

201 Thornberry Branch LN
Daytona Beach, FL 32124-3652

Phone

(386) 872-4892

Fax

(386) 256-2320

NPI assigned

Jul 24, 2016

Last updated

Feb 13, 2020By 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 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1881147023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 THORNBERRY BRANCH LN",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321243652",
            "telephone_number": "386-872-4892",
            "fax_number": "386-256-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 THORNBERRY BRANCH LN",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321243652",
            "telephone_number": "386-872-4892",
            "fax_number": "386-256-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIBE MEJIA",
        "first_name": "PAULA",
        "middle_name": "ANDREA",
        "credential": "CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-24",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE",
            "identifier": "SA17652",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.thehopegroup4.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "201 Thornberry Branch Ln",
            "city": "Daytona Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321243652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.