Individual provider Active NPI

Lori Kay Kovacs, SLP

  • Speech-Language Pathologist
  • Gainesville, FL
National Provider Identifier
1497955850
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5261 Issued in FL
Practice address
2025 SW 75TH St Ste 30
Gainesville, FL 32607-3467
Phone
(352) 333-1195
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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 SA5261 FL Primary

Addresses

Primary practice location

2025 SW 75TH St Ste 30
Gainesville, FL 32607-3467

Mailing address

1016 Spring Villas PT
Ste. 1030
Winter Springs, FL 32708-5258
Phone (407) 629-9455

Other practice location 1

1016 Spring Villas Pt
Ste. 1030
Winter Springs, FL 32708-5258
Phone (407) 629-9455

Other identifiers 1

IdentifierTypeStateIssuer
SA5261OtherFLSPEECH LICENSE

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

State licenses

LicenseStateTypeSpecialty
SA5261FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1497955850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 SPRING VILLAS PT",
            "address_2": "STE. 1030",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085258",
            "telephone_number": "407-629-9455",
            "fax_number": "407-629-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 SW 75TH ST STE 30",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326073467",
            "telephone_number": "352-333-1195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 Spring Villas Pt",
            "address_2": "STE. 1030",
            "address_purpose": "LOCATION",
            "city": "Winter Springs",
            "state": "FL",
            "postal_code": "327085258",
            "country_code": "US",
            "telephone_number": "407-629-9455",
            "fax_number": "407-629-9138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVACS",
        "first_name": "LORI",
        "middle_name": "KAY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LICENSE",
            "identifier": "SA5261",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.