Kaitlin Alexis Smith, B.A. SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI5185 Issued in FL

Practice address

14201 W Sunrise Blvd Ste 107
Sunrise, FL 33323-3207

Phone

(954) 756-2818

Fax

(954) 514-1126

NPI assigned

Mar 10, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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.

• Adults to Pediatrics Therapy LLC

  dba Atp

  • Clinic/Center
  • Sunrise, FL
  • NPI 1114151362
  NPD

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1386392280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 107",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-756-2818",
            "fax_number": "954-514-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 107",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-756-2818",
            "fax_number": "954-514-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAITLIN",
        "middle_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "B.A. SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI5185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "SI5185",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kaitlinsmith499@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "Email address",
            "affiliationName": "Adults to Pediatrics Therapy LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "14201 W Sunrise Blvd Ste 107",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333233207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Smiling Team Corp
• Smith Mental Health Assoc
• Arthur A. Smith, MD
• Brianna Smith
• Damone E Smith, DDS
• Lindsey Nicole Smith, M.S., CF-SLP
• Rhonda Renee Smith, NNP
• Seychelle Smith, LCSW
• Shari Smith, FNP
• Tahaji Smith, LCSW

• Speech-Language Assistant in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.