Individual provider Active NPI

Myleishka Marie Santos Echevarria, SLP-CF

  • Speech-Language Pathologist
  • Lake Placid, FL
National Provider Identifier
1972073492
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8683 Issued in FL
Practice address
125 Tomoka Blvd S
Lake Placid, FL 33852-8123
Phone
(863) 465-7200
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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 8683 FL Primary

Addresses

Primary practice location

125 Tomoka Blvd S
Lake Placid, FL 33852-8123

Mailing address

604 Jupiter Ave NW
Lake Placid, FL 33852-9739
Phone (874) 814-4737

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
8683FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1972073492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 JUPITER AVE NW",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338529739",
            "telephone_number": "874-814-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOMOKA BLVD S",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338528123",
            "telephone_number": "863-465-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS ECHEVARRIA",
        "first_name": "MYLEISHKA",
        "middle_name": "MARIE",
        "credential": "SLP-CF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "8683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.