Individual provider Active NPI

Diana Quiceno, SLP

  • Speech-Language Pathologist
  • Davie, FL
National Provider Identifier
1972990638
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ8591 Issued in FL
Practice address
12545 Orange Dr Ste 502
Davie, FL 33330
Phone
(954) 474-8048
NPI assigned
Apr 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI2483 FL
Speech-Language Pathologist 235Z00000X SZ8591 FL Primary

Addresses

Primary practice location

12545 Orange Dr Ste 502
Davie, FL 33330

Mailing address

7641 NW 183Rd Ter
Hialeah, FL 33015-2946
Phone (786) 280-6710

Other practice location 1

5555 Hollywood Blvd Ste 201
Hollywood, FL 33021-6420
Phone (954) 603-1881

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
SI2483FLMDSpeech-Language Assistant
SZ8591FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1972990638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7641 NW 183RD TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152946",
            "telephone_number": "786-280-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12545 ORANGE DR STE 502",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33330",
            "telephone_number": "954-474-8048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Hollywood Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216420",
            "country_code": "US",
            "telephone_number": "954-603-1881",
            "fax_number": "954-603-5341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUICENO",
        "first_name": "DIANA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI2483",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

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