Sandra Kent, M.ED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5854 Issued in FL

Practice address

4077 N Chinook LN
Ormond Beach, FL 32174-9326

Phone

(386) 793-8120

NPI assigned

Apr 14, 2009

Last updated

Apr 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1285877670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 JUNIPER DR",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321415410",
            "telephone_number": "386-423-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 N CHINOOK LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749326",
            "telephone_number": "386-793-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "M.ED, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SA5854",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886398900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael R Keller
• Janelle Kelley, AUD
• Mark E Kennedy, MD
• Kenneth B Hawthorne Jr MD PA
• Kaley Susanne Kenney
• Raymond A Kenzik, DDS
• Kerry a Crandall,Arnp
• Taher Khalil, M D P A
• Gisele Khawand
• Monica Khazaal, DDS

• Speech-Language Pathologist in Ormond Beach, FL
• Providers in Ormond Beach, 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 Apr 14, 2009; 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.