Lydia Keiffert

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA18203 Issued in FL

Practice address

160 NW 4TH St
Boca Raton, FL 33432-3826

Phone

(561) 391-8444

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Audrey B Greenwald Ms CCC PA

  • Health Maintenance Organization
  • Boca Raton, FL
  • NPI 1013964915
  NPD (past)

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1215570510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 TUMBLESTONE CT APT 714",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334464438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 4TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323826",
            "telephone_number": "561-391-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6245 State Road 54",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346536006",
            "country_code": "US",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEIFFERT",
        "first_name": "LYDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9269",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Kecskes, LMHC
• Keep Pushing Wellness
• Amanda Brooke Keffner, LMHC
• Kegley Counseling, LLC
• Michelle Kegley, LMHC, LPC
• Keith H. Kaner, DDS, PA
• Keith Jones Aprn LLC
• Cassondra Lee Kelchner, MS, LMHC
• Carl James Keldie, M.D.
• Mirtha Kelijman, MD

• Speech-Language Pathologist in Boca Raton, FL
• Providers in Boca Raton, 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 Oct 9, 2020; 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.