Organization Active NPI

Kids Mpowered

  • Speech-Language Pathologist
  • Plant City, FL
National Provider Identifier
1205001492
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA7832 Issued in FL
Legal business name
KIDS MPOWERED
Practice address
649 E Alexander St
Plant City, FL 33563-7126
Phone
(813) 767-8740
Fax
(813) 473-4621
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Ms. Geneva E. Austin, M.S., CCC/SLP
Title
Speech-Language Pathologist
Phone
(813) 767-8740

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT3546 FL
Speech-Language Pathologist 235Z00000X SA7832 FL Primary

Addresses

Primary practice location

649 E Alexander St
Plant City, FL 33563-7126

Mailing address

649 E Alexander St
Plant City, FL 33563-7126
Phone (813) 767-8740

National Provider Directory

National Provider Directory

Locations

649 E Alexander St
Plant City, FL 33563
Phone (813) 767-8740

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1205001492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 E ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637126",
            "telephone_number": "813-767-8740",
            "fax_number": "813-473-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 E ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637126",
            "telephone_number": "813-767-8740",
            "fax_number": "813-473-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS MPOWERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "813-767-8740",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT3546",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.