Active NPI
Grace Homeidan Robert, CCC-SLP
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1902156250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12467
- Practice address
- 2051 NW 112TH Ave Ste 125
Miami, FL 33172 - Phone
- (305) 878-0083
- NPI assigned
- Sep 13, 2012
- Last updated
- Jun 5, 2018
- 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 | SA12467 | FL | Primary |
Addresses
Primary practice location
2051 NW 112TH Ave Ste 125
Miami, FL 33172
Mailing address
1000 West Ave
#1411
Miami Beach, FL 33139-4759
Phone (305) 878-0083
Other practice location 1
11251 NW 20th St
118
Miami, FL 33172-1859
Phone (305) 878-0083
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 |
|---|---|---|---|
| SA12467 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinetic Kids, Inc | Past | Accepting new patients | |
| Kinetic Kids, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmental Disabilities Clinic/Center
- Miami, FL
- NPI 1528323292
-
- Physical Therapist
- Miami Beach, FL
- NPI 1568427003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1902156250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WEST AVE",
"address_2": "#1411",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331394759",
"telephone_number": "305-878-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 NW 112TH AVE STE 125",
"city": "MIAMI",
"state": "FL",
"postal_code": "33172",
"telephone_number": "305-878-0083"
}
],
"practiceLocations": [
{
"address_1": "11251 NW 20th St",
"address_2": "118",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331721859",
"country_code": "US",
"telephone_number": "305-878-0083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERT",
"first_name": "GRACE",
"middle_name": "HOMEIDAN",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-13",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Robert M Jaeger D.O., P.a.
- Robert Morgan Educational Center
- Robert Ortiz P.a.
- Robert Santa Cruz, MD, PA
- Robert Vogt-Lowell MD, PA (Single Source Pediatrics)
- Marilyne Robert, FNP-BC
- Laurie Jean Roberti, NP
- Roberto a Fernandez DC PA (Fernandez Family Chiropractic Center)
- Roberto a. Hernando MD PA
- Roberto Arce MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.