Active NPI
Kendal McMahon
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1508355413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA16189
- Practice address
- 3305 S Orange Ave
Orlando, FL 32806-6125 - Phone
- (407) 852-3300
- NPI assigned
- May 7, 2018
- Sex
- Female
- 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 | SA16189 | FL | Primary |
Addresses
Primary practice location
3305 S Orange Ave
Orlando, FL 32806-6125
Mailing address
347 Beach Ave
Longwood, FL 32750-7529
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024818700 | Medicaid | FL | |
| SA16189 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| SA16189 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honeycomb Speech | Current | 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.
-
- Hearing and Speech Clinic/Center
- Knoxville, TN
- NPI 1114508801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1508355413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 BEACH AVE",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327507529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066125",
"telephone_number": "407-852-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "KENDAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA16189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024818700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "SA16189",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.