Maria Andreina Ballester-Nieto, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA10563 Issued in FL

Practice address

5121 Thoroughbred Blvd
Jacksonville, FL 32257-3659

Phone

(904) 924-5632

NPI assigned

Aug 11, 2009

Last updated

May 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Mary M Pellegrino

  • Speech-Language Pathologist
  • Tallahassee, FL
  • NPI 1912965856
  NPD (past)
• Tallahassee Speech and Language Center

  • Speech-Language Pathologist
  • Tallahassee, FL
  • NPI 1427337856
  NPD (past)

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1912139809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 THOROUGHBRED BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322573659",
            "telephone_number": "904-924-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 THOROUGHBRED BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322573659",
            "telephone_number": "904-924-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTER-NIETO",
        "first_name": "MARIA",
        "middle_name": "ANDREINA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ballard
• Madison Violet Ballard, MSN, APRN, NNP-BC
• Lindsey Ballema
• Jessica Daniela Ballen Jimenez
• Amanda Jean Ballentine, RPH
• Alex Balmir, D.O.
• Joseph John Balmonte, PT
• Abuzar Bhurgri Baloach, DO
• Jonathan Forest Balog, D.O.
• Gregory H Balotin, PHARMD

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.