Individual provider Active NPI

Alexandra Krill, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1285072140
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
07200 Issued in MD
Practice address
13538 Village Park Dr
Suite 145
Orlando, FL 32837-7698
Phone
(321) 872-7157
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 07200 MD Primary
Speech-Language Pathologist 235Z00000X SA13474 FL

Addresses

Primary practice location

13538 Village Park Dr
Suite 145
Orlando, FL 32837-7698

Mailing address

13538 Village Park Dr
Suite 145
Orlando, FL 32837-7698
Phone (321) 872-7157

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 Arts

State licenses

LicenseStateTypeSpecialty
SA13474FLMDSpeech-Language Pathologist
07200MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1285072140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13538 VILLAGE PARK DR",
            "address_2": "SUITE 145",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377698",
            "telephone_number": "321-872-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13538 VILLAGE PARK DR",
            "address_2": "SUITE 145",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377698",
            "telephone_number": "321-872-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRILL",
        "first_name": "ALEXANDRA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07200",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.