Lillian E Kennedy, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

5805 Issued in FL

Practice address

3212 Hillsdale LN # 3212
Kissimmee, FL 34741-7562

Phone

(407) 906-9003

NPI assigned

Sep 19, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nucare Therapy LLC

  • Physical Therapy Clinic/Center
  • Kissimmee, FL
  • NPI 1720452550
  NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1487376125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 HILLSDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417562",
            "telephone_number": "407-906-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 HILLSDALE LN # 3212",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417562",
            "telephone_number": "407-906-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LILLIAN",
        "middle_name": "E",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "5805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://app.fusionwebclinic.com",
            "affiliation": "N",
            "address_1": "3212 Hillsdale Ln",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347417562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kiersten Yovonne Kelley
• Dhan Kellwan, LMT
• Anita Kelly-Serrano
• Jahkevah Kendrick
• James Bruce Kendrick, DMD
• Sean Michael Kennedy, MD
• Sherline Kenton-Morris
• Deborah Jean Kenyon, BA-HC, RN
• Jeannette R Kerns, AP, DOM, L.AC.
• Sarah Ketterman

• Speech-Language Assistant in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.