Individual provider Active NPI

Zayra Yaenis Marrero I, SLP

  • Speech-Language Pathologist
  • Kissimmee, FL
National Provider Identifier
1902206808
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 13797 Issued in FL
Practice address
2701 Michigan Ave Ste C
Kissimmee, FL 34744-1214
Phone
(407) 513-3270
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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 2050 PR
Speech-Language Pathologist 235Z00000X SA 13797 FL Primary

Addresses

Primary practice location

2701 Michigan Ave Ste C
Kissimmee, FL 34744-1214

Mailing address

840 Perth PL
Kissimmee, FLORIDA 34758
UM
Phone (407) 705-8070

Other identifiers 1

IdentifierTypeStateIssuer
017631200MedicaidFL

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

LicenseStateTypeSpecialty
SA 13797FLMDSpeech-Language Pathologist
2050PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crecemos Therapy Services, LLC Speech-Language Pathologist Current 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": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1902206808",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "840 PERTH PL",
            "city": "KISSIMMEE",
            "state": "FLORIDA",
            "postal_code": "34758",
            "telephone_number": "407-705-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MICHIGAN AVE STE C",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441214",
            "telephone_number": "407-513-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "ZAYRA",
        "middle_name": "YAENIS",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "2050",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 13797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017631200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.