Individual provider Active NPI

Annalyse Briann Pucci

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1992098008
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14682 Issued in FL
Practice address
11874 SW 151St Ave
Miami, FL 33196-2550
Phone
(305) 803-3177
NPI assigned
May 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA14682 FL Primary
Speech-Language Assistant 2355S0801X SI1922 FL

Addresses

Primary practice location

11874 SW 151St Ave
Miami, FL 33196-2550

Mailing address

11874 SW 151St Ave
Miami, FL 33196-2550
Phone (305) 803-3177

Other practice location 1

110 Phoenetia Ave
Coral Gables, FL 33134-3312
Phone (305) 567-5881

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
SI1922FLMDSpeech-Language Assistant
SA14682FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Academy Speech-Language Pathologist Past Accepting new patients
Crystal Academy Past Accepting new patients

Organizations & group practices 2

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": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992098008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11874 SW 151ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962550",
            "telephone_number": "305-803-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11874 SW 151ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962550",
            "telephone_number": "305-803-3177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Phoenetia Ave",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331343312",
            "country_code": "US",
            "telephone_number": "305-567-5881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCCI",
        "first_name": "ANNALYSE",
        "middle_name": "BRIANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14682",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI1922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.