Kathleen Margaret Babineau, SPEECH LANGUAGE PATH
Individual provider Active NPI Speech-Language Pathologist · Rockledge, FL
NPI 1043456015 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1043456015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA12425 (FL)
- Practice address
- 1950 US Highway 1 Ste 201B
Rockledge, FL 32955-3763 - Phone
- (321) 291-4498
- NPI assigned
- Dec 22, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240919000768 | FL | Practitioner - Qualified Speech Language Pathologist | 6406397330 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA12425 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Tree Speech Therapy | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
590 Solutions Way
Ste 110
Rockledge, FL 32955
Phone (321) 291-4498
1950 US Highway 1
Ste 201B
Rockledge, FL 32955
Phone (321) 291-4498
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA12425 | FL | Yes |
Addresses
Primary practice location
1950 US Highway 1 Ste 201B
Rockledge, FL 32955-3763
Mailing address
1950 US Highway 1 Ste 201B
Rockledge, FL 32955-3763
Phone (321) 735-2135
Other providers in Rockledge, FL
- Avanthi Kopuri, DMD, MSD, Mha, PLLC
- Margeths Ayala-Cruz
- Jennifer Lyn Ayrey
- Nabil Aziz
- Debra L Babcock
- Sarah Jeanette Bachmaier
- Backonpoint Health and Wellness
- Donna Louise Bacon
- Mohammad Baddad
- Jessica Baez
All providers in Rockledge, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.