Active NPI
Lawrence Earl Geiger III, MS, CCC-SLP
- Speech-Language Pathologist
- Kenneth City, FL
National Provider Identifier
1497081285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA6157
- Practice address
- 5524 52ND Ave N
Kenneth City, FL 33709-3765 - Phone
- (727) 642-2699
- Fax
- (727) 545-0949
- NPI assigned
- Oct 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | SA6157 | FL | Primary |
Addresses
Primary practice location
5524 52ND Ave N
Kenneth City, FL 33709-3765
Mailing address
5524 52ND Ave N
Kenneth City, FL 33709-3765
Phone (727) 642-2699
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA6157 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idependent Daily Living Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Kenneth City, FL
- NPI 1972800076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256688000000",
"number": "1497081285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5524 52ND AVE N",
"city": "KENNETH CITY",
"state": "FL",
"postal_code": "337093765",
"telephone_number": "727-642-2699",
"fax_number": "727-545-0949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5524 52ND AVE N",
"city": "KENNETH CITY",
"state": "FL",
"postal_code": "337093765",
"telephone_number": "727-642-2699",
"fax_number": "727-545-0949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEIGER",
"first_name": "LAWRENCE",
"middle_name": "EARL",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-28",
"last_updated": "2009-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA6157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenneth City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.