Active NPI
Kidspeak
- Speech-Language Pathologist
- Fort Lauderdale, FL
National Provider Identifier
1285795807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 7325
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 7325 | FL | Primary |
| Speech-Language Pathologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Fort Lauderdale, FL
- NPI 1609937218
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.