Kristin Joy Freeland, SPEECH LANGUAGE PATH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA12063 Issued in FL

Practice address

141 C. South John Sims Pkwy
Valparaiso, FL 32580-2711

Phone

(194) 651-6368

Fax

(850) 279-3298

NPI assigned

Sep 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Speech at the Beach

  • Speech-Language Pathologist
  • Niceville, FL
  • NPI 1598259376
  NPD Authorized official
• Speech Solutions Inc

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1467485367
  NPD (past)

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1275842163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OAK AVE",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783610",
            "telephone_number": "419-651-6368",
            "fax_number": "850-279-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 C. SOUTH JOHN SIMS PKWY",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325802711",
            "telephone_number": "194-651-6368",
            "fax_number": "850-279-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREELAND",
        "first_name": "KRISTIN",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8621",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "8621",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009331400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emerald Coast Autism Center
• Emerald Coast Family Medicine Inc
• Amarylis Remelle Emrick
• Kathryn Greer Fagan
• Rachael Flint
• Summer Fritz, NP
• Jennifer Leigh Gaddy, DPT
• Sarah Joanna Green, DC
• Traci Duncan Green, MPT
• Erica Cameron Griffin, LMHC

• Speech-Language Pathologist in Valparaiso, FL
• Providers in Valparaiso, 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 Jun 28, 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.