Likecia Luckey, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA12028 Issued in FL

Practice address

6390 Colonial Grand Dr
207
Tampa, FL 33647-3534

Phone

(813) 317-3463

NPI assigned

May 14, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Creative Health Care Management, LLC

  dba Vertis Therapy

  • Physical Therapist
  • Bradenton, FL
  • NPI 1790302164

  Speech-Language Pathologist

  Medicare reassignment NPD
• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1558772301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6390 COLONIAL GRAND DR",
            "address_2": "207",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473534",
            "telephone_number": "813-317-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6390 COLONIAL GRAND DR",
            "address_2": "207",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473534",
            "telephone_number": "813-317-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKEY",
        "first_name": "LIKECIA",
        "name_prefix": "Ms.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam M Luchey, M.D.
• Shayna Luchte, APRN
• Emmanuel Luciano Lorenzo, MD
• Brendaly Luciano
• Renae C Lucien, ARNP
• Mariah Luckey
• Lucky Clover ABA LLC
• Lucy C Love MD PA
• Julianne Michelle Luddeke, BCBA
• Frances Ludena

• Speech-Language Pathologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.