Active NPI
Nicole Murray Kraftsow, SLP
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1073719613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 4992
- Practice address
- 4284 SW 161St PL
Miami, FL 33185-3826 - Phone
- (786) 208-2814
- Fax
- (305) 228-6251
- NPI assigned
- Jun 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SA 4992 | FL | Primary |
Addresses
Primary practice location
4284 SW 161St PL
Miami, FL 33185-3826
Mailing address
21205 NE 37TH Ave
#403
Aventura, FL 33180-4051
Phone (305) 933-9799
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 4992 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & V Thera Pro Associates Corp | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073719613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21205 NE 37TH AVE",
"address_2": "#403",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331804051",
"telephone_number": "305-933-9799",
"fax_number": "305-228-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4284 SW 161ST PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331853826",
"telephone_number": "786-208-2814",
"fax_number": "305-228-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAFTSOW",
"first_name": "NICOLE",
"middle_name": "MURRAY",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 4992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.