Individual provider Active NPI

Lauren Kalis

  • Speech-Language Assistant
  • Aventura, FL
National Provider Identifier
1194059568
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SZ4915 Issued in FL
Practice address
20700 W Dixie Hwy
Aventura, FL 33180-1146
Phone
(305) 933-5887
Fax
(305) 933-8991
NPI assigned
Oct 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SZ4915 FL Primary

Addresses

Primary practice location

20700 W Dixie Hwy
Aventura, FL 33180-1146

Mailing address

20700 W Dixie Hwy
Aventura, FL 33180-1146
Phone (305) 933-5887

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
SZ4915FLMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1194059568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801146",
            "telephone_number": "305-933-5887",
            "fax_number": "305-933-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801146",
            "telephone_number": "305-933-5887",
            "fax_number": "305-933-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIS",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SZ4915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.