Individual provider Active NPI

Briana Luckie Savastano

  • Speech-Language Assistant
  • Sanford, FL
National Provider Identifier
1962018739
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI4540 Issued in FL
Practice address
111 E Lake Mary Blvd Ste 113
Sanford, FL 32773-7111
Phone
(407) 203-9492
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI4540 FL Primary

Addresses

Primary practice location

111 E Lake Mary Blvd Ste 113
Sanford, FL 32773-7111

Mailing address

2125 Seaport Cir Apt 101
Winter Park, FL 32792-1231
Phone (954) 218-1203

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
SI4540FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Children'S Therapy Center, LLC Speech-Language Assistant CurrentSince Sep 20, 2020 Accepting new patients

Locations

111 E Lake Mary Blvd
Ste 113
Sanford, FL 32773
Phone (407) 203-9492

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1962018739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 SEAPORT CIR APT 101",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921231",
            "telephone_number": "954-218-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E LAKE MARY BLVD STE 113",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737111",
            "telephone_number": "407-203-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVASTANO",
        "first_name": "BRIANA",
        "middle_name": "LUCKIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI4540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.