Katelyn McCann, SLPA, CCC

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

5893 Issued in FL

Practice address

111 E Lake Mary Blvd Ste 113
Sanford, FL 32773-7111

Phone

(407) 203-9492

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Milestones Children'S Therapy Center, LLC

  • Clinic/Center
  • Sanford, FL
  • NPI 1467989475

  Speech-Language Assistant

  NPD

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670716800000",
    "number": "1063139194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14641 SAINT GEORGES HILL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288037",
            "telephone_number": "407-728-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E LAKE MARY BLVD STE 113",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737111",
            "telephone_number": "407-203-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "KATELYN",
        "credential": "SLPA, CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-12-11",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "5893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Thomas Mayotte, MD
• Craig Mays
• Gina Mazzarella, LMHC, NCC, TTS
• MC Medical LLC
• Edna Shadell McCall, PTA
• Conneatha McClendon
• Jeffrey Kendall McCray, PTA
• Tristin McDermott
• William Kenneth McDowell, ARNP
• Kevin P McGuire, M.A.

• Speech-Language Assistant in Sanford, FL
• Providers in Sanford, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.