Individual provider Active NPI

Ryan Evan Hoesten, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1891242467
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA15983 Issued in FL
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

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SA15983OtherFLFLORIDA SPEECH-LANGUAGE PATHOLOGY LICENSURE
SP30125OtherCACALIFORNIA SPEECH-LANGUAGE PATHOLOGY LICENSURE
018701300MedicaidFL
2202009512OtherVAVIRGINIA 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

LicenseStateTypeSpecialty
SA15983FLMDSpeech-Language Pathologist
SZ 7715FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.