Organization Active NPI

Bauer Speech Therapy, LLC

  • Speech-Language Pathologist
  • Lake City, FL
National Provider Identifier
1023991270
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BAUER SPEECH THERAPY, LLC
Practice address
5421 SW County Road 240
Lake City, FL 32024-1774
Phone
(386) 867-3706
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Susan Bauer, CCC-SLPNPI 1588796619
Title
Owner
Phone
(386) 867-3706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5421 SW County Road 240
Lake City, FL 32024-1774

Mailing address

295 NW Commons Loop # 115-256
Lake City, FL 32055-7721

National Provider Directory

National Provider Directory

Locations

295 NW Commons Loop
#115256
Lake City, FL 32055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1023991270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 NW COMMONS LOOP # 115-256",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320557721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 SW COUNTY ROAD 240",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320241774",
            "telephone_number": "386-867-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUER SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-27",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-867-3706",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.