MIRIAM MEDINA (NPI# 1235560558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235560558 |
| Entity Type | Individual |
| Full Name | MIRIAM MEDINA |
| Credential | MS/SLP |
| Practice Address |
111 E Lake Mary Bvld Suite 113 Sanford FL 32773 |
| Mailing Address |
111 E Lake Mary Blvd Ste 113 Sanford FL 32773-7111 |
| Practice Telephone | 4072039492 |
| Practice Fax Number | 3213329768 |
| Mailing Telephone | 4072039492 |
| Mailing Fax Number | 3213329768 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA14184 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1235560558 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871068346 | Miriam Medina | Behavioral Analyst | 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237 | 2018-10-10 |
| 1548578081 | Miriam Medina | Pharmacist | 7800 Us Highway 17/92, Fern Park, FL 32730-2243 | 2010-09-17 |
| Street Address |
111 E LAKE MARY BVLD SUITE 113 |
| City | SANFORD |
| State | FL |
| Zip Code | 32773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962355 | United Angels Home Care Inc | In Home Supportive Care | 601 Lake Minnie Dr, # 4058, Sanford, FL 32773 | 2019-09-30 |
| 1093276537 | Hill Derm Pharmacy, Inc | Pharmacy | 3065 S. Mellonville Ave Ste B, Sanford, FL 32773 | 2019-03-27 |
| 1114446507 | Roberto Carlos Moran | Psychologist | 228 Clydesdale Circle, Sanford, FL 32773 | 2017-09-17 |
| 1316465305 | Thalia Garcia-lakongpheng | Student in an Organized Health Care Education/Training Program | 12208 Stonebrook Dr, Sanford, FL 32773 | 2017-08-30 |
| 1891211470 | Eric Manuel Castrodad Santini | Chiropractor | 820 W Lake Mary Blvd Ste 107, Sanford, FL 32773 | 2017-08-16 |
| 1306375886 | A New Beginning Family Services | Case Management | 148 Magnolia Park Trl, Sanford, FL 32773 | 2017-06-08 |
| 1427592146 | Alice Johanie Matias | Behavioral Analyst | 15208 Stonebrook Dr, Sanford, FL 32773 | 2016-12-14 |
| 1528514270 | Edward Dimauro II | Social Worker | 117 E Lake Mary Blvd, Sanford, FL 32773 | 2016-08-31 |
| 1174079420 | Beverly Glaspell | Physical Therapy Assistant | 257 Clydesdale Circle, Sanford, FL 32773 | 2016-08-28 |
| 1447607064 | Seminole Addiction Treatment Services & Counseling | Counselor | 2640 Hiawatha Avenue, Suite E, Sanford, FL 32773 | 2016-05-24 |
| Find all providers in zip 32773 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407361785 | Ana Rivera Rivera Rodriguez | Speech-Language Pathologist | 279 Magnolia Park Trl, Sanford, FL 32773-7215 | 2017-12-07 |
| 1821531146 | Word Up Speech Therapy | Speech-Language Pathologist | 10 Wateredge Ln, Sanford, NC 27332-0142 | 2016-11-18 |
| 1578014015 | Cipher Innovations, LLC | Speech-Language Pathologist | 500 Westover Dr # 10224, Sanford, NC 27330-8941 | 2016-10-19 |
| 1154876449 | Natalie Post | Speech-Language Pathologist | 500 Westover Dr # 10068, Sanford, NC 27330-8941 | 2016-08-17 |
| 1104277862 | Minda Butler | Speech-Language Pathologist | 233 Loch Low Dr, Sanford, FL 32773-5549 | 2016-06-23 |
| 1104274299 | Janet Dildine | Speech-Language Pathologist | 135 Chatham St, Sanford, NC 27330-4335 | 2016-05-30 |
| 1932555216 | Brittany Green | Speech-Language Pathologist | 147 Majestic Forest Run, Sanford, FL 32771-7172 | 2016-05-05 |
| 1417331562 | Chonte Nakisha Francois | Speech-Language Pathologist | 985 S Orange Blvd, Sanford, FL 32771-9587 | 2015-07-17 |
| 1578970190 | Erika Rogawski | Speech-Language Pathologist | 113 Hillcrest Drvie, Sanford, NC 27330-4020 | 2014-07-15 |
| 1477968063 | Diane Teasley | Speech-Language Pathologist | 2620 Retreat View Cir, Sanford, FL 32771-8801 | 2014-06-23 |
| Find all providers in SANFORD | ||||
Please comment or provide details below to improve the information on MIRIAM MEDINA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.