Kiana Desiree Hines, MED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19243 Issued in FL

Practice address

850 S Gadsden St Unit 729
Tallahassee, FL 32301-2442

Phone

(678) 517-9255

NPI assigned

Jan 26, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Space Speech Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Tallahassee, FL
  • NPI 1093467466
  NPD Authorized official

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1366194706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S GADSDEN ST UNIT 729",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012442",
            "telephone_number": "678-517-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S GADSDEN ST UNIT 729",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012442",
            "telephone_number": "678-517-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "KIANA",
        "middle_name": "DESIREE",
        "credential": "MED, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "19243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "spacespeechtherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "850 S Gadsden St Unit 729",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323012442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robyn Ann Hillison, M.A., CCC-SLP
• Tionna M Hills
• Sheila Hilson
• Mark Albert Hinchliffe
• Dana Hines
• Lindsay D Hinson-Knipple, M.D.
• Emilie Marie Hitchcock Dalton, CCC-SLP
• Tui S Hitchcock, D.C.
• Deborah Hitchmon-Marshall
• Stephen G Hladek, AA

• Speech-Language Pathologist in Tallahassee, FL
• Providers in Tallahassee, 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 Jan 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.