Katorya Latia Bush, SLP-A

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI4109 Issued in FL

Practice address

330 Avenue C SE
Winter Haven, FL 33880-3243

Phone

(863) 268-2903

NPI assigned

Oct 9, 2019

Last updated

Oct 9, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Language & Literacy Academy for Learning, Inc

  • Local Education Agency (LEA)
  • Winter Haven, FL
  • NPI 1023512738

  Speech-Language Assistant

  NPD (past)

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1144862269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 COVINGTON LN",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102710",
            "telephone_number": "813-856-7541",
            "fax_number": "863-940-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 AVENUE C SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803243",
            "telephone_number": "863-268-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "KATORYA",
        "middle_name": "LATIA",
        "name_prefix": "Mrs.",
        "credential": "SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI4109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katorya.bush@weexcelinreading.org",
            "affiliation": "N",
            "address_1": "330 Avenue C SE",
            "city": "Winter Haven",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338803243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Burnam, ARNP
• David Alan Burnett, OTR
• Maryann Edith Burton, COTA
• Bush Chiropractic Clinic PA
• Gary Wayne Bush, D.C.
• Caroline Butler
• Ebony Michelle Butler
• Jamie Butters
• John David Butters, SLP
• George William Butz, III, D.D.S.

• Speech-Language Assistant in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.