Individual provider Active NPI

Jane B Kran, MS CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1598859068
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 3368 Issued in FL
Practice address
Florida Speech - Language Pathology, Inc.
11602 Lake Underhill Rd., Suite 129
Orlando, FL 32825-4460
Phone
(407) 277-5400
Fax
(321) 281-4942
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 3368 FL Primary

Addresses

Primary practice location

Florida Speech - Language Pathology, Inc.
11602 Lake Underhill Rd., Suite 129
Orlando, FL 32825-4460

Mailing address

3445 Ravencreek LN
Oviedo, FL 32766-7044
Phone (850) 567-3017

Other identifiers 1

IdentifierTypeStateIssuer
889741700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121000947 FL Practitioner - Qualified Speech Language Pathologist 0143634816 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA 3368FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Avenues Therapy Co Speech-Language Pathologist CurrentSince Jan 12, 2021 Accepting new patients

Locations

1071 Port Malabar Blvd NE
Ste 206
Palm Bay, FL 32905

107 Longwood Ave
Rockledge, FL 32955
Phone (321) 338-2419

1237 Florida Ave S
Rockledge, FL 32955
Phone (321) 338-2419

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1598859068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 RAVENCREEK LN",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327667044",
            "telephone_number": "850-567-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FLORIDA SPEECH - LANGUAGE PATHOLOGY, INC.",
            "address_2": "11602 LAKE UNDERHILL RD., SUITE 129",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254460",
            "telephone_number": "407-277-5400",
            "fax_number": "321-281-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAN",
        "first_name": "JANE",
        "middle_name": "B",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 3368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889741700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.