Kimberly A Spetz, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4688 Issued in FL

Practice address

901 Clark St
Oviedo, FL 32765-7378

Phone

(772) 334-3288

NPI assigned

Aug 30, 2006

Last updated

Mar 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• The Hope Center for Autism, Inc.

  • Local Education Agency (LEA)
  • Stuart, FL
  • NPI 1154978534
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1477662476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SUNFLOWER CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327926314",
            "telephone_number": "772-631-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CLARK ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657378",
            "telephone_number": "772-334-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPETZ",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "4688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884762200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Gary Specie, PT, DPT
• Speech Innovations of Central Florida LLC
• Speech Innovations of Central Florida LLC
• Margaret Mary Spencer, LCSW
• Megan Spencer
• Deborah Alison Spiers, D.O
• Carlei Jo Spitale
• Michelle Nicole Spivey, COTA/L
• Ashley Squillante
• Vishaka Sridhar, OTR

• Speech-Language Pathologist in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.