Active NPI
Paige Nicole Kwasigroch, CCC-SLP
- Speech-Language Pathologist
- Eustis, FL
National Provider Identifier
1205581899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA23008
- Practice address
- 437 W Ardice Ave
Eustis, FL 32726 - Phone
- (352) 747-4147
- NPI assigned
- Feb 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI4564 | FL | |
| Speech-Language Pathologist | 235Z00000X | SZ11608 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA23008 | FL | Primary |
Addresses
Primary practice location
437 W Ardice Ave
Eustis, FL 32726
Mailing address
492 Bellissimo PL
Howey in the Hills, FL 34737-0017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0715896686 | Other | FL | HPSO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SI4564 | FL | MD | Speech-Language Assistant |
| SA23008 | FL | MD | Speech-Language Pathologist |
| SZ11608 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Therapy, LLC | 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": "1644710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1205581899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 BELLISSIMO PL",
"city": "HOWEY IN THE HILLS",
"state": "FL",
"postal_code": "347370017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 W ARDICE AVE",
"city": "EUSTIS",
"state": "FL",
"postal_code": "32726",
"telephone_number": "352-747-4147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWASIGROCH",
"first_name": "PAIGE",
"middle_name": "NICOLE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-13",
"last_updated": "2024-10-01",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI4564",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ11608",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA23008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPSO",
"identifier": "0715896686",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.