Individual provider Active NPI

Kathleen Dilella, M.ED. CCC-SLP

  • Speech-Language Pathologist
  • Winter Springs, FL
National Provider Identifier
1215253547
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5530 Issued in FL
Practice address
1163 Oak Creek CT
Winter Springs, FL 32708-5084
Phone
(407) 625-9595
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA5530 FL Primary

Addresses

Primary practice location

1163 Oak Creek CT
Winter Springs, FL 32708-5084

Mailing address

1163 Oak Creek CT
Winter Springs, FL 32708-5084
Phone (407) 625-9595

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)
Enrolled
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1215253547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 OAK CREEK CT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085084",
            "telephone_number": "407-625-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 OAK CREEK CT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085084",
            "telephone_number": "407-625-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILELLA",
        "first_name": "KATHLEEN",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.