Organization Active NPI

Dandelion Speech Language Pathology Services LLC

  • Speech-Language Pathologist
  • Apopka, FL
National Provider Identifier
1073154084
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
DANDELION SPEECH LANGUAGE PATHOLOGY SERVICES LLC
Practice address
1997 Sanderlin Point Loop
Apopka, FL 32703-5511
Phone
(321) 229-3706
NPI assigned
Oct 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Lakisha Dawkins, M.A. CCC-SLPNPI 1598287260
Title
Owner/Speech Language Pathologist
Phone
(321) 229-3706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1997 Sanderlin Point Loop
Apopka, FL 32703-5511

Mailing address

1997 Sanderlin Point Loop
Apopka, FL 32703-5511
Phone (321) 229-3706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200204000074 FL Part B Supplier - Clinic/Group Practice 9436585841 Receives reassigned benefits from 1 practitioner
Practice locations: Apopka, FL

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": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1073154084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 SANDERLIN POINT LOOP",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035511",
            "telephone_number": "321-229-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 SANDERLIN POINT LOOP",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035511",
            "telephone_number": "321-229-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANDELION SPEECH LANGUAGE PATHOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "321-229-3706",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.