Active NPI
Kerry Ackerman, MS CCC-SLP
- Speech-Language Pathologist
- Coral Springs, FL
National Provider Identifier
1487793527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 8212
- Practice address
- 10371 W Sample Rd
Coral Springs, FL 33065-3941 - Phone
- (954) 341-0090
- Fax
- (954) 341-2252
- NPI assigned
- Feb 5, 2007
- 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 | SA 8212 | FL | Primary |
Addresses
Primary practice location
10371 W Sample Rd
Coral Springs, FL 33065-3941
Mailing address
8328 NW 20TH St
Coral Springs, FL 33071-6221
Phone (954) 341-8185
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 |
|---|---|---|---|
| SA 8212 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1487793527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8328 NW 20TH ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716221",
"telephone_number": "954-341-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10371 W SAMPLE RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330653941",
"telephone_number": "954-341-0090",
"fax_number": "954-341-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "KERRY",
"name_prefix": "Mrs.",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 8212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.