Individual provider Active NPI

Brooke Kittleson

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1013539378
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ9350 Issued in FL
Practice address
606 Sherburn CT
Orlando, FL 32828-9017
Phone
(407) 810-2773
Fax
(407) 867-6203
NPI assigned
May 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SZ9350 FL Primary

Addresses

Primary practice location

606 Sherburn CT
Orlando, FL 32828-9017

Mailing address

2965 Grandeville Cir Apt 307
Oviedo, FL 32765-6080
Phone (407) 592-6906

Other practice location 1

886 S Dillard St
Winter Garden, FL 34787-3910
Phone (407) 905-8908

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
SZ9350FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Words Speech Therapy LLC Multi-Specialty PastSince May 17, 2020 Accepting new patients
Kids Connection Therapy LLC Multi-Specialty Past Accepting new patients
Pediatric Therapy Services of Greater Orlando, LLC Multi-Specialty Past Accepting new patients
Speech and Occupational Specialists, LLC Multi-Specialty Past Accepting new patients

Organizations & group practices 4

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": "1588982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1013539378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 GRANDEVILLE CIR APT 307",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656080",
            "telephone_number": "407-592-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SHERBURN CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289017",
            "telephone_number": "407-810-2773",
            "fax_number": "407-867-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "886 S Dillard St",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347873910",
            "country_code": "US",
            "telephone_number": "407-905-8908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITTLESON",
        "first_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-09",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.