Individual provider Active NPI

Kristy J. George, MEDCCC-SLP

  • Speech-Language Pathologist
  • Saint Petersburg, FL
National Provider Identifier
1093961096
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA4718 Issued in FL
Practice address
5661 97TH Way N
Saint Petersburg, FL 33708-3433
Phone
(813) 598-1513
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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 SA4718 FL Primary

Addresses

Primary practice location

5661 97TH Way N
Saint Petersburg, FL 33708-3433

Mailing address

5661 97TH Way N
Saint Petersburg, FL 33708-3433
Phone (813) 598-1513

Other names 1

  • Kristy J. Carbone Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230322001249 FL Practitioner - Qualified Speech Language Pathologist 4284008871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bilingual Speech Therapy of Clearwater LLCGroup PAC ID 4486027943, 2 clinicians

Practice addresses (Care Compare)

29257 US Hwy 19 N
Clearwater, FL 33761-2102
Phone (727) 201-2778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Speech Therapy of Clearwater LLC Speech-Language Pathologist CurrentSince Dec 10, 2022 Accepting new patients

Locations

29257 US Highway 19 N
Clearwater, FL 33761
Phone (727) 201-2778

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1093961096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5661 97TH WAY N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337083433",
            "telephone_number": "813-598-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5661 97TH WAY N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337083433",
            "telephone_number": "813-598-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "KRISTY",
        "middle_name": "J.",
        "credential": "MEDCCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "CARBONE",
            "middle_name": "J.",
            "credential": "MEDCCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.