Active NPI
Summer Leigh Kinsey, SLP-A
- Speech-Language Assistant
- Plantation, FL
National Provider Identifier
1508016494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI 1591
- Practice address
- 761 N Pine Island Rd
#103
Plantation, FL 33324-1392 - Phone
- (251) 751-1258
- NPI assigned
- Sep 26, 2008
- 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 Assistant | 2355S0801X | SI 1591 | FL | Primary |
Addresses
Primary practice location
761 N Pine Island Rd
#103
Plantation, FL 33324-1392
Mailing address
761 N Pine Island Rd
#103
Plantation, FL 33324-1392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306937693 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SI 1591 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283731200000",
"number": "1508016494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 N PINE ISLAND RD",
"address_2": "#103",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 N PINE ISLAND RD",
"address_2": "#103",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241392",
"telephone_number": "251-751-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINSEY",
"first_name": "SUMMER",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "SLP-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2010-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI 1591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306937693",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.