Organization Active NPI

Speech4Kids of Gainesville LLC

  • Speech-Language Pathologist
  • Newberry, FL
National Provider Identifier
1437660941
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5126 Issued in FL
Legal business name
SPEECH4KIDS OF GAINESVILLE LLC
Practice address
14250 SW 4TH PL
Newberry, FL 32669-3393
Phone
(352) 514-7935
Fax
(352) 514-7935
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Kelli Murphy Vaudreuil, MA, CCC-SLP
Title
Owner/Speech-Language Pathologist
Phone
(352) 514-7935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA5126 FL Primary

Addresses

Primary practice location

14250 SW 4TH PL
Newberry, FL 32669-3393

Mailing address

14250 SW 4TH PL
Newberry, FL 32669-3393
Phone (352) 514-7935

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1437660941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14250 SW 4TH PL",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693393",
            "telephone_number": "352-514-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14250 SW 4TH PL",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693393",
            "telephone_number": "352-514-7935",
            "fax_number": "352-514-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH4KIDS OF GAINESVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "VAUDREUIL",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "MURPHY",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "352-514-7935",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.