Kamryn Rosina Leoncavallo, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ11658 Issued in FL

Practice address

4707 W Gandy Blvd Ste 3
Tampa, FL 33611-3310

Phone

(813) 728-6601

NPI assigned

Sep 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• South Tampa Voice Therapy, LLC

  • Speech-Language Pathologist
  • Tampa, FL
  • NPI 1710335500
  Medicare reassignment NPD

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1124845946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 4TH ST N APT 710",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161701",
            "telephone_number": "571-263-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 W GANDY BLVD STE 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113310",
            "telephone_number": "813-728-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONCAVALLO",
        "first_name": "KAMRYN",
        "middle_name": "ROSINA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Leonard, PTA
• Randy Chad Leonard, PHARM. D.
• Stephanie Marie Leonard, CRNA
• Veronica Mercedes Leonard, D.C.
• Afonsina B Leonardo
• John Philip Leone, M.D.
• Lia Leone
• Salvatore James Leone, M.D.
• Fabio Leonelli, MD
• Leopoldo Grauer MD PA

• Speech-Language Pathologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.