Active NPI
Amber L Kling
- Speech-Language Pathologist
- Crestview, FL
National Provider Identifier
1124858592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA20005
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| SA20005 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 850 Therapy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Exit 56 Therapy Group LLC | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Crestview, FL
- NPI 1013783711
-
- Clinical Social Worker
- Crestview, FL
- NPI 1013733799
Speech-Language Pathologist
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.