NPIMap

Organization Active NPI

Kidtalk, P.a.

  • Developmental Therapist
  • Starke, FL
National Provider Identifier
1275712655
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
KIDTALK, P.A.
Practice address
417 W Call St
Starke, FL 32091-3115
Phone
(904) 964-4464
NPI assigned
Nov 1, 2007
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Aimee JenningsNPI 1427022631
Title
President
Phone
(904) 964-4464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

417 W Call St
Starke, FL 32091-3115

Mailing address

417 W Call St
Starke, FL 32091-3115

National Provider Directory

National Provider Directory
Tax ID family
Kidtalk PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1275712655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W CALL ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W CALL ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913115",
            "telephone_number": "904-964-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDTALK, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-964-4464"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starke, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.