Active NPI
Andrea Harrison
- Speech-Language Pathologist
- Belleview, FL
National Provider Identifier
1891039368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 7595
- Practice address
- 10540 SE 42ND Ter
Belleview, FL 34420-6856 - Phone
- (352) 216-4820
- NPI assigned
- Nov 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 7595 | FL | Primary |
Addresses
Primary practice location
10540 SE 42ND Ter
Belleview, FL 34420-6856
Mailing address
10540 SE 42ND Ter
Belleview, FL 34420-6856
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA 7595 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1891039368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10540 SE 42ND TER",
"city": "BELLEVIEW",
"state": "FL",
"postal_code": "344206856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10540 SE 42ND TER",
"city": "BELLEVIEW",
"state": "FL",
"postal_code": "344206856",
"telephone_number": "352-216-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-21",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 7595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.