Individual provider Active NPI

Linda Ross Kushner, MA CCC, SLP

  • Speech-Language Pathologist
  • Palm Beach Gardens, FL
National Provider Identifier
1063621274
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 1789 Issued in FL
Practice address
500 Village Square Crossing
Suite 201
Palm Beach Gardens, FL 33410-4548
Phone
(561) 627-7899
Fax
(561) 318-7827
NPI assigned
May 22, 2007
Last updated
Feb 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 1789 FL Primary

Addresses

Primary practice location

500 Village Square Crossing
Suite 201
Palm Beach Gardens, FL 33410-4548

Mailing address

500 Village Square Crossing
Suite 201
Palm Beach Gardens, FL 33410
Phone (561) 627-7899

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

LicenseStateTypeSpecialty
SA 1789FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1063621274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VILLAGE SQUARE CROSSING",
            "address_2": "SUITE 201",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-627-7899",
            "fax_number": "561-318-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VILLAGE SQUARE CROSSING",
            "address_2": "SUITE 201",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104548",
            "telephone_number": "561-627-7899",
            "fax_number": "561-318-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "LINDA",
        "middle_name": "ROSS",
        "name_prefix": "Mrs.",
        "credential": "MA CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 1789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.