Individual provider Active NPI

Kendall Lee Norman, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Tallahassee, FL
National Provider Identifier
1235643586
Registry record updated Sep 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ8281 Issued in FL
Practice address
2940 E Park Ave # 2F
Tallahassee, FL 32301-3446
Phone
(850) 895-9394
Fax
(855) 795-1904
NPI assigned
Nov 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2021

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 SZ8281 FL Primary

Addresses

Primary practice location

2940 E Park Ave # 2F
Tallahassee, FL 32301-3446

Mailing address

1004 Huron TRL
Tallahassee, FL 32317-9415
Phone (850) 524-8317

Other practice location 1

1650 Phillips Rd
Tallahassee, FL 32308-5304
Phone (850) 693-4557

Other identifiers 1

IdentifierTypeStateIssuer
100127500MedicaidFL

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SZ8281FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Pediatric Speech Speech-Language Pathologist Current Accepting new patients
Pediatric Therapy Services Tallahassee Speech-Language Pathologist CurrentSince Sep 12, 2021 Accepting new patients

Locations

2940 E Park Ave
#2F
Tallahassee, FL 32301
Phone (850) 800-7752

Organizations & group practices 2

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": "1511395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1235643586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 HURON TRL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323179415",
            "telephone_number": "850-524-8317",
            "fax_number": "855-795-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 E PARK AVE # 2F",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013446",
            "telephone_number": "850-895-9394",
            "fax_number": "855-795-1904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Phillips Rd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085304",
            "country_code": "US",
            "telephone_number": "850-693-4557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "KENDALL",
        "middle_name": "LEE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-23",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100127500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; 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.