Kredo Health LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

KREDO HEALTH LLC

Practice address

1939 Maguire Rd Ste 107-108
Windermere, FL 34786-7942

Phone

(407) 473-8005

NPI assigned

Oct 24, 2022

Last updated

Oct 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Soaud CornellNPI 1508507914

Title

Managing Member

Phone

(407) 619-8156

Specialties & licenses 1

Addresses

Tax ID family

Kredo Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kredo Health LLC

  • Speech-Language Pathologist
  • Windermere, FL
  • NPI 1427796630
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soaud Cornell

  • Behavior Technician
  • Windermere, FL
  • NPI 1508507914
  NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1295452936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 MAGUIRE RD STE 107-108",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 MAGUIRE RD STE 107-108",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867942",
            "telephone_number": "407-473-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREDO HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "SOAUD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-619-8156",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Anne Kisselback, APRN
• Lori Michelle Kistler, PMHNP-BC
• Susan Louise Knipscheer Penning, LCSW
• Alexandra Dominique Koeltzow, APRN
• Ricardo Konageski Da Fonseca, SA-C
• Kredo Health LLC
• Katarina Kronawitter, MSN, ARNP
• April Lang Lam, PA-C
• Merllory Lampe Rodriguez, DMD
• Lauren Singrossi

• Behavior Analyst in Windermere, FL
• Providers in Windermere, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.