Individual provider Active NPI

Kiya Joyce Yaguda, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Maitland, FL
National Provider Identifier
1407104821
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 10056 Issued in FL
Practice address
620 N Wymore Rd
Suite 230
Maitland, FL 32751-4268
Phone
(407) 647-4740
NPI assigned
Aug 15, 2012
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 10056 FL Primary

Addresses

Primary practice location

620 N Wymore Rd
Suite 230
Maitland, FL 32751-4268

Mailing address

346 Hanging Moss Cir
Lake Mary, FL 32746-6251
Phone (407) 436-8821

Other names 1

  • Ms. Kiya Joyce Yaguda Other name

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA 10056FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beckman & Associates Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1407104821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 HANGING MOSS CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466251",
            "telephone_number": "407-436-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N WYMORE RD",
            "address_2": "SUITE 230",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514268",
            "telephone_number": "407-647-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGUDA",
        "first_name": "KIYA",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 10056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIYA",
            "last_name": "YAGUDA",
            "middle_name": "JOYCE",
            "prefix": "MS.",
            "credential": "M.A., CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.