Active NPI
Kayla Marie Altice, MS, CCC-SLP
- Speech-Language Pathologist
- Vinton, VA
National Provider Identifier
1013753490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 40418
- Practice address
- 705 Clearview Dr
Vinton, VA 24179-3605 - Phone
- (540) 982-6691
- NPI assigned
- Jul 3, 2024
- Last updated
- Jan 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 40418 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | 18423 | OR | |
| Speech-Language Pathologist | 235Z00000X | 2202011360 | VA | |
| Speech-Language Pathologist | 235Z00000X | 14362519 |
Addresses
Primary practice location
705 Clearview Dr
Vinton, VA 24179-3605
Mailing address
6005 Farmhouse CT
Roanoke, VA 24019-7457
Phone (540) 494-5405
Other practice location 1
925 S Semoran Blvd Ste 110A
Winter Park, FL 32792-5313
Phone (407) 641-1718
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40418 | CA | MD | Speech-Language Pathologist |
| 18423 | OR | MD | Speech-Language Pathologist |
| 2202011360 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1013753490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 FARMHOUSE CT",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240197457",
"telephone_number": "540-494-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 CLEARVIEW DR",
"city": "VINTON",
"state": "VA",
"postal_code": "241793605",
"telephone_number": "540-982-6691"
}
],
"practiceLocations": [
{
"address_1": "925 S Semoran Blvd Ste 110A",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327925313",
"country_code": "US",
"telephone_number": "407-641-1718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALTICE",
"first_name": "KAYLA",
"middle_name": "MARIE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-03",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "40418",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "18423",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202011360",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "14362519",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vinton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.