Individual provider Active NPI

Kim Ann Lobato, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1679876486
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5A5407 Issued in FL
Practice address
5020 Goddard Avenue
Orlando, FL 32804-1168
Phone
(407) 299-1533
Fax
(407) 295-5965
NPI assigned
Dec 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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 5A5407 FL Primary

Addresses

Primary practice location

5020 Goddard Avenue
Orlando, FL 32804-1168

Mailing address

5020 Goddard Avenue
Orlando, FL 32804-1168
Phone (407) 299-1533

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
5A5407FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Speech & Language Inc Speech-Language Pathologist Past Accepting new patients

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": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1679876486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 GODDARD AVENUE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041168",
            "telephone_number": "407-299-1533",
            "fax_number": "407-295-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 GODDARD AVENUE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041168",
            "telephone_number": "407-299-1533",
            "fax_number": "407-295-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBATO",
        "first_name": "KIM",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "5A5407",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 16, 2010; 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.