Individual provider Active NPI

Kayla Elizabeth Cortiza, SLPA

  • Speech-Language Assistant
  • Clearwater, FL
National Provider Identifier
1295305266
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
4961 Issued in FL
Practice address
29257 US 19 N
Clearwater, FL 33761-2102
Phone
(727) 201-2778
Fax
(813) 437-1413
NPI assigned
Jun 30, 2021
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 4961 FL Primary

Addresses

Primary practice location

29257 US 19 N
Clearwater, FL 33761-2102

Mailing address

29257 US 19 N
Clearwater, FL 33761-2102
Phone (727) 201-2778

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL SimplePractice Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
4961FLMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Speech Therapy of Clearwater LLC CurrentSince Oct 15, 2022 Accepting new patients
Pediatric Therapy Services Inc PastSince Jul 1, 2021 Accepting new patients

Locations

29257 US Highway 19 N
Clearwater, FL 33761
Phone (727) 201-2778

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1295305266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29257 US 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612102",
            "telephone_number": "727-201-2778",
            "fax_number": "813-437-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29257 US 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612102",
            "telephone_number": "727-201-2778",
            "fax_number": "813-437-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTIZA",
        "first_name": "KAYLA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-07-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "4961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "EMR System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "29257 US 19 N",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337612102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.