Individual provider Active NPI

Madison Kluegel

  • Speech-Language Assistant
  • Orlando, FL
National Provider Identifier
1316641350
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
5953 Issued in FL
Practice address
5800 Golf Club Pkwy
Orlando, FL 32808-4800
Phone
(407) 904-0134
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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 5953 FL Primary

Addresses

Primary practice location

5800 Golf Club Pkwy
Orlando, FL 32808-4800

Mailing address

1475 Oranole Rd
Maitland, FL 32751-3102
Phone (321) 279-5193

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
5953FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy of Central Florida, Inc. Past Accepting new patients
United Cerebral Palsy of Central Florida, Inc. Past Accepting new patients

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1316641350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 ORANOLE RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513102",
            "telephone_number": "321-279-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 GOLF CLUB PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328084800",
            "telephone_number": "407-904-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUEGEL",
        "first_name": "MADISON",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "5953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.