Individual provider Active NPI

Kristen Melissa Chavez-Cantres, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Palm Bay, FL
National Provider Identifier
1003505082
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA13116 Issued in FL
Practice address
1634 Saladino St SE
Palm Bay, FL 32909-5425
Phone
(321) 684-5439
NPI assigned
May 4, 2023
Last updated
May 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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 SA13116 FL Primary

Addresses

Primary practice location

1634 Saladino St SE
Palm Bay, FL 32909-5425

Mailing address

785 Luminary Cir Unit 105
Melbourne, FL 32901-6636
Phone (813) 784-4683

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA13116FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talkin' With Purpose, LLC Speech-Language Pathologist PastSince May 7, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1003505082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 LUMINARY CIR UNIT 105",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329016636",
            "telephone_number": "813-784-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 SALADINO ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329095425",
            "telephone_number": "321-684-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ-CANTRES",
        "first_name": "KRISTEN",
        "middle_name": "MELISSA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.