Active NPI
Kayla Fouraker, M.S. SLP
- Speech-Language Pathologist
- Jacksonville, FL
National Provider Identifier
1457709107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ7511
- Practice address
- 7749 Normandy Blvd
Suite 147
Jacksonville, FL 32221-7657 - Phone
- (904) 786-5576
- NPI assigned
- Jun 2, 2016
- Last updated
- Jun 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ7511 | FL | Primary |
Addresses
Primary practice location
7749 Normandy Blvd
Suite 147
Jacksonville, FL 32221-7657
Mailing address
7749 Normandy Blvd
Suite 147
Jacksonville, FL 32221-7657
Phone (904) 786-5576
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ7511 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1457709107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7749 NORMANDY BLVD",
"address_2": "SUITE 147",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322217657",
"telephone_number": "904-786-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7749 NORMANDY BLVD",
"address_2": "SUITE 147",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322217657",
"telephone_number": "904-786-5576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOURAKER",
"first_name": "KAYLA",
"credential": "M.S. SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-02",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ7511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.