Individual provider Active NPI

Kali D'Haene, MA, CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1467843870
Registry record updated Nov 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14660 Issued in FL
Practice address
5728 Major Blvd Ste 600
Orlando, FL 32819-7970
Phone
(407) 280-3776
NPI assigned
Feb 7, 2015
Last updated
Nov 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2019

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 SA14660 FL Primary

Addresses

Primary practice location

5728 Major Blvd Ste 600
Orlando, FL 32819-7970

Mailing address

7772 Bay Cedar Dr
Orlando, FL 32835-5324
Phone (517) 294-8699

Other practice location 1

1661 Colleen Dr
Belle Isle, FL 32809-6875
Phone (407) 205-7377

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 Arts

State licenses

LicenseStateTypeSpecialty
SA14660FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Children's Therapy CurrentSince Dec 13, 2020 Accepting new patients
Services by Amy LLC Speech-Language Pathologist PastSince Nov 17, 2019 Accepting new patients

Locations

5728 Major Blvd
Ste 600
Orlando, FL 32819
Phone (407) 280-3776

Organizations & group practices 2

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": "1423267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573344000000",
    "number": "1467843870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7772 BAY CEDAR DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355324",
            "telephone_number": "517-294-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 MAJOR BLVD STE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197970",
            "telephone_number": "407-280-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1661 Colleen Dr",
            "address_purpose": "LOCATION",
            "city": "Belle Isle",
            "state": "FL",
            "postal_code": "328096875",
            "country_code": "US",
            "telephone_number": "407-205-7377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'HAENE",
        "first_name": "KALI",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-07",
        "last_updated": "2019-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2019; 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.