Active NPI
Rebekah Elizabeth Steele Kazmierczak, MA, CCC-SLP
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1053837880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14706
- Practice address
- 12377 S Orange Blossom TRL
Orlando, FL 32837-6215 - Phone
- (407) 857-1212
- NPI assigned
- Aug 14, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14706 | FL | Primary |
Addresses
Primary practice location
12377 S Orange Blossom TRL
Orlando, FL 32837-6215
Mailing address
14513 Astina Way
Orlando, FL 32837-7214
Phone (407) 484-0142
Other practice location 1
320 Mitchell St
Kissimmee, FL 34741-4447
Phone (407) 847-7220
Other practice location 2
14155 Town Loop Blvd
Orlando, FL 32837-6185
Phone (407) 541-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14706 | Other | FL | STATE LICENSE |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14706 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053837880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14513 ASTINA WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328377214",
"telephone_number": "407-484-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12377 S ORANGE BLOSSOM TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376215",
"telephone_number": "407-857-1212"
}
],
"practiceLocations": [
{
"address_1": "320 Mitchell St",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347414447",
"country_code": "US",
"telephone_number": "407-847-7220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14155 Town Loop Blvd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328376185",
"country_code": "US",
"telephone_number": "407-541-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAZMIERCZAK",
"first_name": "REBEKAH",
"middle_name": "ELIZABETH STEELE",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "14706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "14706",
"state": "FL"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.