Individual provider Active NPI

Edith E. Kiratzis, M.S. CF-SLP

  • Speech-Language Pathologist
  • Tallahassee, FL
National Provider Identifier
1013463413
Registry record updated Aug 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ7773 Issued in FL
Practice address
1017 Summerbrooke Dr
Tallahassee, FL 32312-6731
Phone
(814) 360-6184
NPI assigned
Aug 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2016

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 SZ7773 FL Primary

Addresses

Primary practice location

1017 Summerbrooke Dr
Tallahassee, FL 32312-6731

Mailing address

1017 Summerbrooke Dr
Tallahassee, FL 32312-6731
Phone (814) 360-6184

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
SZ7773FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472256000000",
    "number": "1013463413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 SUMMERBROOKE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323126731",
            "telephone_number": "814-360-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 SUMMERBROOKE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323126731",
            "telephone_number": "814-360-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRATZIS",
        "first_name": "EDITH",
        "middle_name": "E.",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ7773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; 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.