Kaitlyn Needham

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ10740 Issued in FL

Practice address

6977 Professional Pkwy
Lakewood Ranch, FL 34240-8411

Phone

(941) 758-3140

Fax

(941) 702-9988

NPI assigned

Jul 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Therapeutic Potentials, Inc

  • Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1013135169

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1306571690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6977 PROFESSIONAL PKWY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408411",
            "telephone_number": "941-758-3140",
            "fax_number": "941-702-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6977 PROFESSIONAL PKWY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408411",
            "telephone_number": "941-758-3140",
            "fax_number": "941-702-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aejaz Nasir, MBBS
• National Youth Advocate Program, Inc
• Karl Martin Natter, RPH
• Nathalie Trujillo Navarrete, OTR/L
• Kelvin Brady Nease
• Faith Nelms
• Marcia J Netherland, MA, NCC, LPC, TF-CBT
• Nataleigh Newhouse
• Jacqueline Anne Nielsen, APRN
• Yadiel Nieves

• Speech-Language Pathologist in Lakewood Ranch, FL
• Providers in Lakewood Ranch, 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 Jul 20, 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.