Active NPI
Kayla Budney Corriveau
- Speech-Language Pathologist
- Lake Mary, FL
National Provider Identifier
1538735907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1061 S Sun Dr
Lake Mary, FL 32746-6119 - Phone
- (407) 323-6955
- NPI assigned
- May 27, 2021
- 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 | Primary |
Addresses
Primary practice location
1061 S Sun Dr
Lake Mary, FL 32746-6119
Mailing address
737 Galloway CT
Winter Springs, FL 32708-2237
Phone (954) 552-7811
Other practice location 1
606 Sherburn Ct
Orlando, FL 32828-9017
Phone (407) 810-2773
Other practice location 2
5800 Golf Club Pkwy
Orlando, FL 32808-4800
Phone (407) 904-0134
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Words Speech Therapy LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Optimum Rehab, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Orlando, FL
- NPI 1407265358
-
- Clinic/Center
- Lake Mary, FL
- NPI 1285788083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1538735907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 GALLOWAY CT",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327082237",
"telephone_number": "954-552-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 S SUN DR",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327466119",
"telephone_number": "407-323-6955"
}
],
"practiceLocations": [
{
"address_1": "606 Sherburn Ct",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328289017",
"country_code": "US",
"telephone_number": "407-810-2773",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5800 Golf Club Pkwy",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328084800",
"country_code": "US",
"telephone_number": "407-904-0134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORRIVEAU",
"first_name": "KAYLA",
"middle_name": "BUDNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.