Individual provider Active NPI

Kaitlyn Kohlbrand, MS, CCC-SLP

  • Speech-Language Pathologist
  • Winter Park, FL
National Provider Identifier
1659805489
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16695 Issued in FL
Practice address
7205 Aloma Ave
Winter Park, FL 32792-7101
Phone
(321) 972-3960
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1707102 NC
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 16695 FL Primary

Addresses

Primary practice location

7205 Aloma Ave
Winter Park, FL 32792-7101

Mailing address

973 Wilma Ave
Winter Park, FL 32789-2311

Other practice location 1

3305 S Orange Ave
Orlando, FL 32806-6125
Phone (407) 852-3302

Other practice location 2

635 Statesville Blvd
Salisbury, NC 28144-2201
Phone (704) 633-7390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16695FLMDSpeech-Language Pathologist
1707102NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1659805489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 WILMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927101",
            "telephone_number": "321-972-3960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328066125",
            "country_code": "US",
            "telephone_number": "407-852-3302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 Statesville Blvd",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442201",
            "country_code": "US",
            "telephone_number": "704-633-7390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLBRAND",
        "first_name": "KAITLYN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1707102",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "16695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.