Individual provider Active NPI

Meghan McKenna Calla, MS CCCSLP

  • Speech-Language Pathologist
  • West Palm Beach, FL
National Provider Identifier
1174672570
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 9463 Issued in FL
Practice address
2608 Acklins Rd
West Palm Beach, FL 33406-7750
Phone
(813) 990-7170
Fax
(561) 225-1718
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ3947 FL
Speech-Language Pathologist 235Z00000X SA 9463 FL Primary

Addresses

Primary practice location

2608 Acklins Rd
West Palm Beach, FL 33406-7750

Mailing address

2608 Acklins Rd
West Palm Beach, FL 33406-7750
Phone (813) 990-7170

Other identifiers 1

IdentifierTypeStateIssuer
891539300MedicaidFL

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA 9463FLMDSpeech-Language Pathologist
SZ3947FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Easy of the Palm Beaches Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1174672570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 ACKLINS RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067750",
            "telephone_number": "813-990-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 ACKLINS RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067750",
            "telephone_number": "813-990-7170",
            "fax_number": "561-225-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLA",
        "first_name": "MEGHAN",
        "middle_name": "MCKENNA",
        "name_prefix": "Mrs.",
        "credential": "MS CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ3947",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891539300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.