Individual provider Active NPI

Kimberly Maguire Svenson, M.A., CCC

  • Speech-Language Pathologist
  • Sarasota, FL
National Provider Identifier
1669611620
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5266 Issued in FL
Practice address
4064 Founders Club Dr
Sarasota, FL 34240-1441
Phone
(941) 343-0526
NPI assigned
Feb 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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 SA5266 FL Primary

Addresses

Primary practice location

4064 Founders Club Dr
Sarasota, FL 34240-1441

Mailing address

4064 Founders Club Dr
Sarasota, FL 34240-1441
Phone (941) 343-0526

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 Arts

State licenses

LicenseStateTypeSpecialty
SA5266FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234742400000",
    "number": "1669611620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4064 FOUNDERS CLUB DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342401441",
            "telephone_number": "941-343-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 FOUNDERS CLUB DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342401441",
            "telephone_number": "941-343-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVENSON",
        "first_name": "KIMBERLY",
        "middle_name": "MAGUIRE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.