NPIMap

Organization Active NPI

Paradise Coast Speech Therapy, LLC

  • Speech-Language Pathologist
  • Naples, FL
National Provider Identifier
1902195712
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 10710 Issued in FL
Legal business name
PARADISE COAST SPEECH THERAPY, LLC
Practice address
1290 Sperling CT
Naples, FL 34103-2328
Phone
(239) 580-8884
NPI assigned
Apr 1, 2011
Last updated
Apr 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Victoria B Penn, MS CCC-SLPNPI 1811217508
Title
Speech Language Pathologist
Phone
(239) 580-8884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 10710 FL Primary

Addresses

Primary practice location

1290 Sperling CT
Naples, FL 34103-2328

Mailing address

1289 Sperling CT
Naples, FL 34103-2328
Phone (239) 580-8884

Other identifiers 2

IdentifierTypeStateIssuer
01101838OtherMDAMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
SA 10710OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1902195712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 SPERLING CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032328",
            "telephone_number": "239-580-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SPERLING CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032328",
            "telephone_number": "239-580-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE COAST SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "239-580-8884",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 10710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
            "identifier": "01101838",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "SA 10710",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.