Individual provider Active NPI

Lawrence Earl Geiger III, MS, CCC-SLP

  • Speech-Language Pathologist
  • Kenneth City, FL
National Provider Identifier
1497081285
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA6157 Issued in FL
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

Updated by the provider on Oct 28, 2009

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 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

LicenseStateTypeSpecialty
SA6157FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Idependent Daily Living Services, Inc PastSince Jun 14, 2018 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.

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.

Verify at the official NPI Registry.