Susan Bauer, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6822 Issued in FL

Practice address

5421 SW County Road 240
Lake City, FL 32024-1774

Phone

(386) 867-3706

NPI assigned

Mar 12, 2007

Last updated

Dec 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bauer Speech Therapy, LLC

  • Speech-Language Pathologist
  • Lake City, FL
  • NPI 1023991270
  NPD Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1588796619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 SW COUNTY ROAD 240",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320241774",
            "telephone_number": "386-867-3706",
            "fax_number": "385-867-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 SW COUNTY ROAD 240",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320241774",
            "telephone_number": "386-867-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "SUSAN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "S2727",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda J Bates, CRDH
• Dylan Batlle, DMD
• John Amando Batlle III, DMD
• Jerrika Battle
• Bauer Speech Therapy, LLC
• Brigita Sunshyne Baumgardner, LCSW
• Terry L Bax, CRNA
• Baya Bariatrics Urgent Care
• Baya Clinical Services LLC
• Baya Nursing and Rehabilitation LLC (Baya Pointe Nursing and Rehabilitation Center)

• Speech-Language Pathologist in Lake City, FL
• Providers in Lake City, 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 Dec 23, 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.

Verify at the official NPI Registry.