Coastal Kids Speech, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

COASTAL KIDS SPEECH, LLC

Practice address

772 SE White Ave
Port St Lucie, FL 34983-2672

Phone

(561) 676-4213

NPI assigned

Jul 8, 2024

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hannah Mallen, MS, CCC-SLPNPI 1013474683

Title

Owner

Phone

(561) 676-4213

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hannah Mallen

  • Speech-Language Pathologist
  • West Palm Beach, FL
  • NPI 1013474683
  NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1265278303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 SW HUNNICUT AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535331",
            "telephone_number": "561-676-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 SE WHITE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832672",
            "telephone_number": "561-676-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL KIDS SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "MALLEN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-676-4213",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Care and Wellness PLLC
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• Coastal Care Corporation (Martin Memorial Medicenter at St Lucie West)
• Coastal Family Chiropractic PA
• Coastal Orthopedic Center, Inc (coastal limbs & brace)
• Sarah Codreanu, MD
• Kara Cody
• Marvin Ishmeal Cohen, A.R.N.P.
• Brianna Lynn Colando

• Speech-Language Pathologist in Port St Lucie, FL
• Providers in Port St Lucie, 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 Jul 8, 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.

Verify at the official NPI Registry.