NPIMap

Organization Active NPI

Blooming Kids Speech Therapy, LLC

  • Speech-Language Pathologist
  • Kissimmee, FL
National Provider Identifier
1073121653
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BLOOMING KIDS SPEECH THERAPY, LLC
Practice address
3599 Southern Cross Loop
Kissimmee, FL 34744-9005
Phone
(407) 288-0759
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Jessica Pierre Benjamin, M.S., CCC-SLP
Title
Owner
Phone
(407) 288-0759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3599 Southern Cross Loop
Kissimmee, FL 34744-9005

Mailing address

3599 Southern Cross Loop
Kissimmee, FL 34744-9005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1073121653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 SOUTHERN CROSS LOOP",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347449005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 SOUTHERN CROSS LOOP",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347449005",
            "telephone_number": "407-288-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING KIDS SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "PIERRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-288-0759",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.