Individual provider Active NPI

Amber L Kling

  • Speech-Language Pathologist
  • Crestview, FL
National Provider Identifier
1124858592
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA20005 Issued in FL
Practice address
501 4TH Ave NW
Crestview, FL 32536-2539
Phone
(850) 689-7252
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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 SA20005 FL Primary

Addresses

Primary practice location

501 4TH Ave NW
Crestview, FL 32536-2539

Mailing address

326 Key Lime PL
Crestview, FL 32536-2266
Phone (229) 529-0589

Other practice location 1

124 John King Rd
Crestview, FL 32539-8306
Phone (850) 634-6020

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA20005FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
850 Therapy, LLC Speech-Language Pathologist PastSince Dec 10, 2023 Accepting new patients
Exit 56 Therapy Group LLC Speech-Language Pathologist PastSince Dec 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1124858592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 KEY LIME PL",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362266",
            "telephone_number": "229-529-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 4TH AVE NW",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362539",
            "telephone_number": "850-689-7252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 John King Rd",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325398306",
            "country_code": "US",
            "telephone_number": "850-634-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLING",
        "first_name": "AMBER",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.