Speech at the Beach

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12063 Issued in FL

Legal business name

SPEECH AT THE BEACH

Practice address

1910 Oak Ave
Niceville, FL 32578-3610

Phone

(419) 651-6368

Fax

(850) 279-3298

NPI assigned

Jun 15, 2018

Last updated

Dec 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin Joy Freeland, M.E.D., CCC-SLPNPI 1275842163

Title

Speech Language Pathologist

Phone

(419) 651-6368

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Joy Freeland, SPEECH LANGUAGE PATH

  • Speech-Language Pathologist
  • Valparaiso, FL
  • NPI 1275842163
  NPD Authorized official

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1598259376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OAK AVE",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783610",
            "telephone_number": "419-651-6368",
            "fax_number": "850-279-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OAK AVE",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783610",
            "telephone_number": "419-651-6368",
            "fax_number": "850-279-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AT THE BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "FREELAND",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "419-651-6368",
        "authorized_official_credential": "M.E.D., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "12063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009331400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rustin G Sorensen, PA-C
• Southcoast Allergy PA
• Southern Breeze Healthcare
• Southland Emergency Medical Services of FL PL
• Spectrum House, Inc
• Rachel Sperry, OTD, OTR/L
• Gregory Spires, APRN FNP-C
• Gregory W Spivey Jr
• Sara Elaine Sporer
• Julie Anne Staats, DO

• Speech-Language Pathologist in Niceville, FL
• Providers in Niceville, 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 6, 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.