Kayla Fenech, MA, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA15213 Issued in FL

Practice address

5308 Stewart St
Milton, FL 32570-4736

Phone

(850) 981-3506

NPI assigned

Oct 25, 2013

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehab Resources Inc

  • Pediatric Physical Therapist
  • Beaver Dam, WI
  • NPI 1437129566

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053749291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E LEONARD ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 STEWART ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704736",
            "telephone_number": "850-981-3506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3821 Kohler Memorial Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530813600",
            "country_code": "US",
            "telephone_number": "920-208-9648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENECH",
        "first_name": "KAYLA",
        "credential": "MA, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3904154",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020189600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily F Winfree, LCSW LLC
• Escambia Community Clinics, Inc (Milton)
• Escambia Community Clinics, Inc
• F & M of Milton Inc (Joslin Family Eyecare)
• Allyssa Faughnan
• Tammy Ferriera, OTR/L
• Royce Figueroa
• Robert Fillingim, LMHC
• Courtney Finkelstein
• Melissa Fleming

• Speech-Language Pathologist in Milton, FL
• Providers in Milton, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.