Organization Active NPI

Kidspeak

  • Speech-Language Pathologist
  • Fort Lauderdale, FL
National Provider Identifier
1285795807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 7325 Issued in FL
Legal business name
KIDSPEAK
Practice address
2740 NW 17TH St
Fort Lauderdale, FL 33311-4402
Phone
(954) 793-0148
Fax
(954) 301-0645
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carroll Franicina Wilcox, M.S. CCC-SLP
Title
Owner
Phone
(954) 793-0148

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA 7325 FL Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA5918 FL

Addresses

Primary practice location

2740 NW 17TH St
Fort Lauderdale, FL 33311-4402

Mailing address

2740 NW 17TH St
Fort Lauderdale, FL 33311-4402
Phone (954) 793-0148

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285795807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 NW 17TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333114402",
            "telephone_number": "954-793-0148",
            "fax_number": "954-301-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 NW 17TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333114402",
            "telephone_number": "954-793-0148",
            "fax_number": "954-301-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPEAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "CARROLL",
        "authorized_official_middle_name": "FRANICINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-793-0148",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 7325",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.