Active NPI
Ryan Evan Hoesten, M.A., CCC-SLP
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1891242467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA15983
- Practice address
- 644 Ferguson Dr Ste 200
Orlando, FL 32805-1023 - Phone
- (866) 311-4617
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ 7715 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA15983 | FL | Primary |
Addresses
Primary practice location
644 Ferguson Dr Ste 200
Orlando, FL 32805-1023
Mailing address
1410 Catherine St
Orlando, FL 32801-4206
Phone (954) 821-8684
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA15983 | Other | FL | FLORIDA SPEECH-LANGUAGE PATHOLOGY LICENSURE |
| SP30125 | Other | CA | CALIFORNIA SPEECH-LANGUAGE PATHOLOGY LICENSURE |
| 018701300 | Medicaid | FL | |
| 2202009512 | Other | VA | VIRGINIA SPEECH-LANGUAGE PATHOLOGY LICENSURE |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA15983 | FL | MD | Speech-Language Pathologist |
| SZ 7715 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightstart Pediatrics, LLC | Past | Accepting new patients |
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.
-
- Medically Fragile Infants and Children Day Care
- Winter Garden, FL
- NPI 1982051736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1891242467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 CATHERINE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328014206",
"telephone_number": "954-821-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 FERGUSON DR STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328051023",
"telephone_number": "866-311-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOESTEN",
"first_name": "RYAN",
"middle_name": "EVAN",
"name_prefix": "Mr.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ 7715",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA15983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA SPEECH-LANGUAGE PATHOLOGY LICENSURE",
"identifier": "SA15983",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA SPEECH-LANGUAGE PATHOLOGY LICENSURE",
"identifier": "SP30125",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018701300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA SPEECH-LANGUAGE PATHOLOGY LICENSURE",
"identifier": "2202009512",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.