NPIMap

Organization Active NPI

Kernaghan and Moore: Speech and Language Therapy Services, Inc.

  • Speech-Language Pathologist
  • New Port Richey, FL
National Provider Identifier
1467693192
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 1840 Issued in FL
Legal business name
KERNAGHAN AND MOORE: SPEECH AND LANGUAGE THERAPY SERVICES, INC.
Practice address
6245 State Road 54
New Port Richey, FL 34653-6006
Phone
(727) 376-1111
Fax
(727) 376-1113
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Mrs. Kelly Irene Kernaghan, MS, CCC/SLPNPI 1629225289
Title
Ceo
Phone
(727) 376-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA 1840 FL Primary

Addresses

Primary practice location

6245 State Road 54
New Port Richey, FL 34653-6006

Mailing address

6245 State Road 54
New Port Richey, FL 34653-6006
Phone (727) 376-1111

Other practice location 1

1226 Mariner Blvd
Spring Hill, FL 34609-5657
Phone (727) 376-1111

Other practice location 2

5741 Gall Blvd
Zephyrhills, FL 33542-3453
Phone (727) 376-1111

Other identifiers 2

IdentifierTypeStateIssuer
000838400MedicaidFL
BX720AOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090720000377 FL Part B Supplier - Clinic/Group Practice 2365594579 Receives reassigned benefits from 16 practitioners
Practice locations: New Port Richey, FL; Spring Hill, FL

National Provider Directory

National Provider Directory
Tax ID family
Kernaghan and Moore Speech3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7633 Cita Ln
Unit 101
New Port Richey, FL 34653
Phone (727) 376-1111

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1467693192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536006",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536006",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1226 Mariner Blvd",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346095657",
            "country_code": "US",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5741 Gall Blvd",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335423453",
            "country_code": "US",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KERNAGHAN AND MOORE: SPEECH AND LANGUAGE THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "KERNAGHAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-376-1111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 1840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000838400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "BX720A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.