Individual provider Active NPI

Lilliana Gaztambide, SLP

  • Speech-Language Pathologist
  • Minneola, FL
National Provider Identifier
1912378647
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA19052 Issued in FL
Practice address
2479 Gold Dust Dr
Minneola, FL 34715-9329
Phone
(939) 263-5043
NPI assigned
Oct 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 SA19052 FL Primary

Addresses

Primary practice location

2479 Gold Dust Dr
Minneola, FL 34715-9329

Mailing address

2479 Gold Dust Dr
Minneola, FL 34715-9329
Phone (939) 263-5043

Other practice location 1

33 N Krome Ave
Homestead, FL 33030-6014
Phone (786) 601-2042

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
SA19052FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ama'L Speech Therapy Services Inc CurrentSince Feb 25, 2024 Accepting new patients
Speech and Occupational Specialists, LLC Speech-Language Pathologist Past Accepting new patients
Arley Therapy Servises Speech-Language Assistant Past Accepting new patients
Arley Therapy Services, LLC Speech-Language Assistant Past Accepting new patients

Organizations & group practices 4

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": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1912378647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2479 GOLD DUST DR",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159329",
            "telephone_number": "939-263-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2479 GOLD DUST DR",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159329",
            "telephone_number": "939-263-5043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 N Krome Ave",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330306014",
            "country_code": "US",
            "telephone_number": "786-601-2042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAZTAMBIDE",
        "first_name": "LILLIANA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA19052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.