Antonette Bennett

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA19992 Issued in FL

Practice address

10040 Reflections Blvd Apt 106
Sunrise, FL 33351-8306

Phone

(954) 907-1233

NPI assigned

Nov 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Amb Speech and Language Therapy, LLC

  • Speech-Language Pathologist
  • Sunrise, FL
  • NPI 1861105983
  NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1992415319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12717 W SUNRISE BLVD # 237",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 REFLECTIONS BLVD APT 106",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333518306",
            "telephone_number": "954-907-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ANTONETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA19992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shama Benasrie
• Brittany Benavides, B.S. SLP-A
• Enriquillo Bencosme
• Bengal Medical Group
• Glenda Gaoiran Benito, PT
• Edgar Allan Liwanag Benusa, PT, DPT
• Ella-Shanie Benyakar, M.S., CCC-SLP
• Massi Benzid, DDS
• Marisela Ines Benzo Gramcko
• Richard E. Berlin, MD

• Speech-Language Pathologist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Speech-Language Pathologist in Florida

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