Individual provider Active NPI

Sisan Walker Angel

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1902270465
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ7254 Issued in FL
Practice address
8510 SW 8TH St
Miami, FL 33144-4053
Phone
(305) 266-5353
NPI assigned
Nov 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ7254 FL Primary

Addresses

Primary practice location

8510 SW 8TH St
Miami, FL 33144-4053

Mailing address

8415 SW 107TH Ave
Apr 356W
Miami, FL 33173-4393
Phone (305) 815-3923

Other names 1

  • Sisan Walker Other name

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
SZ7254FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1902270465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 SW 107TH AVE",
            "address_2": "APR 356W",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734393",
            "telephone_number": "305-815-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444053",
            "telephone_number": "305-266-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER ANGEL",
        "first_name": "SISAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ7254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SISAN",
            "last_name": "WALKER",
            "credential": "MS. CF-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.