Shaping Speech, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 9884 Issued in FL

Legal business name

SHAPING SPEECH, LLC

Practice address

1358 Twin Rivers Blvd
Oviedo, FL 32766-5082

Phone

(407) 690-2056

NPI assigned

May 14, 2009

Last updated

May 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Robertson, M.A. CCC-SLPNPI 1104148451

Title

Managing Member

Phone

(407) 690-2056

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Robertson, M.A. CCC/SLP

  • Speech-Language Pathologist
  • Lake Wylie, SC
  • NPI 1104148451
  Authorized official Same address or phone

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1194959403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621454",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327621454",
            "telephone_number": "407-690-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 TWIN RIVERS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327665082",
            "telephone_number": "407-690-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPING SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-690-2056",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuleiby Serrano
• Alokee Shah, PTA
• Manish Shah, RPH, M.S.
• Shereen Ann Shaikh, CCC-SLP
• Emily Alyssa Shannon, RBT
• Sheridan Healthcorp Inc
• Sheridan Radiology Services of Central Florida, Inc.
• Sheridan Radiology Services of Central Florida, Inc.
• Sheridan Radiology Services of Pinellas, Inc.
• Sherry Sanders Reeves, PSYD, LLC

• Speech-Language Pathologist in Oviedo, FL
• Providers in Oviedo, 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 May 14, 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.