Individual provider Active NPI

Kaleigh Davis Zuck

  • Speech-Language Pathologist
  • Winter Garden, FL
National Provider Identifier
1174489900
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ12863 Issued in FL
Practice address
1201 Winter Garden Vineland Rd Ste 10
Winter Garden, FL 34787-4380
Phone
(407) 654-5455
Fax
(407) 654-5829
NPI assigned
Dec 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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 SZ12863 FL Primary

Addresses

Primary practice location

1201 Winter Garden Vineland Rd Ste 10
Winter Garden, FL 34787-4380

Mailing address

1201 Winter Garden Vineland Rd Ste 10
Winter Garden, FL 34787-4380
Phone (407) 654-5455

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
SZ12863FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1174489900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WINTER GARDEN VINELAND RD STE 10",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874380",
            "telephone_number": "407-654-5455",
            "fax_number": "407-654-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WINTER GARDEN VINELAND RD STE 10",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874380",
            "telephone_number": "407-654-5455",
            "fax_number": "407-654-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCK",
        "first_name": "KALEIGH",
        "middle_name": "DAVIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ12863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.