Neurodiverse Ability Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

NEURODIVERSE ABILITY SERVICES LLC

Practice address

608 SW Marvin Burnett Rd
Lake City, FL 32025-4918

Phone

(386) 965-5197

NPI assigned

Nov 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Paula Lynette Miller, PH.D

Title

President/Ceo

Phone

(386) 965-5197

Specialties & licenses 8

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelli Lynn Hunt, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Lake City, FL
  • NPI 1528577269
  NPD
• Kelly Nail

  • Case Management Agency
  • Lake City, FL
  • NPI 1033798319
  NPD

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1598366171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 SW MAULDIN AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320244791",
            "telephone_number": "386-965-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SW MARVIN BURNETT RD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254918",
            "telephone_number": "386-965-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIVERSE ABILITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "386-965-5197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tassie Eubank Nelson, PT
• Nemours Children'S Health, Lake City, Specialty Care
• Michelle Renee Nessmith
• Caroline Witt Nettles, NP-C
• Leah Nettles
• Neurology Center of North Florida, LLC
• Newcare Primary Medicine, LLC
• Elizabeth Kathryn Newman, ARNP
• Candaysha L Newton
• Cyndol L Newton

• 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 Apr 5, 2021; 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.