Andrea Anderson Kosciulek, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA9498 Issued in FL

Practice address

861439 N Hampton Club Way
Fernandina Beach, FL 32034-8705

Phone

(904) 548-0641

NPI assigned

Jul 23, 2009

Sex

Female

Sole proprietor

Yes

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.

• Lemon Tree Rehabilitative Services LLC

  • Speech-Language Pathologist
  • Fernandina Beach, FL
  • NPI 1457189698
  Medicare reassignment NPD

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1144450198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861439 N HAMPTON CLUB WAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320348705",
            "telephone_number": "904-548-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861439 N HAMPTON CLUB WAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320348705",
            "telephone_number": "904-548-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCIULEK",
        "first_name": "ANDREA",
        "middle_name": "ANDERSON",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Kinard, M.ED, BCBA
• Amelia Claire Kirby, MS, CF-SLP
• Laurie A Kitson, DMD
• Michael C Knudstrup, PHARMACIST
• Diana Kornetti, PT
• James Michael Kostrzewski, R, MR
• Katherine Kotopka
• Gabor Kovacs, M.D.
• Erika Jean Kristensen, MSW, LCSW
• Blaine S. Kristo, MD

• Speech-Language Pathologist in Fernandina Beach, FL
• Providers in Fernandina Beach, 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 Jul 23, 2009; 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.