Breanna Victoria Calkins

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ8379 Issued in FL

Practice address

660 Hazen Rd
Deland, FL 32720-2603

Phone

(386) 490-6768

NPI assigned

Aug 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Speech Compass, LLC

  • Speech-Language Pathologist
  • Deland, FL
  • NPI 1780350934

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1689199796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 HAZEN RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202603",
            "telephone_number": "386-490-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 HAZEN RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202603",
            "telephone_number": "386-490-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALKINS",
        "first_name": "BREANNA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16635",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8379",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI3352",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22570900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.speechcompasstherapy.com",
            "affiliation": "Y",
            "affiliationName": "Speech Compass, LLC",
            "address_1": "660 Hazen Rd",
            "city": "Deland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327202603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sunshine Michele Bush, MA, CCC-SLP
• Ernesto Bustinza Linares, M.D.
• Betty J Butler, MSW
• Christie Cain
• John Allan Calcagni, M.D.
• Camellia Clinical Services Inc
• Camen Behavioral Services, LLC
• Primrose Elizabeth Cameron-Hall, EDD
• Daniel Tres Campbell, PA
• Bonnie K Candalino, ITDS

• Speech-Language Pathologist in Deland, FL
• Providers in Deland, 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 Jan 21, 2023; 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.