Individual provider Active NPI

Kristin Alfred

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1417427295
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA23251 Issued in FL
Practice address
801 S Miami Ave Unit 3705
Miami, FL 33130-4538
Phone
(614) 949-5646
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP13898 AZ
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X SA23251 FL Primary

Addresses

Primary practice location

801 S Miami Ave Unit 3705
Miami, FL 33130-4538

Mailing address

801 S Miami Ave Unit 3705
Miami, FL 33130-4538

Other practice location 1

25615 N Ranch Gate Rd
Scottsdale, AZ 85255-2141
Phone (480) 502-7726

Other practice location 2

1305 Dares Beach Rd
Prince Frederick, MD 20678-4208
Phone (443) 550-8345

Other identifiers 1

IdentifierTypeStateIssuer
1417427295MedicaidAZ

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
SLP13898AZMDSpeech-Language Pathologist
SA23251FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Speech-Language Therapy Services, Inc. PastSince Oct 1, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1417427295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S MIAMI AVE UNIT 3705",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S MIAMI AVE UNIT 3705",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304538",
            "telephone_number": "614-949-5646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25615 N Ranch Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852552141",
            "country_code": "US",
            "telephone_number": "480-502-7726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Dares Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784208",
            "country_code": "US",
            "telephone_number": "443-550-8345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFRED",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP13898",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA23251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417427295",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.