Active NPI
Kevin Bellflowers, SLP
- Speech-Language Pathologist
- Quincy, FL
National Provider Identifier
1689225757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA16789
- Practice address
- 304 E Jefferson St
Quincy, FL 32351-2530 - Phone
- (850) 875-2180
- Fax
- (850) 807-2970
- NPI assigned
- Sep 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA16789 | FL | Primary |
Addresses
Primary practice location
304 E Jefferson St
Quincy, FL 32351-2530
Mailing address
304 E Jefferson St
Quincy, FL 32351-2530
Phone (850) 875-2180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA16789 | Other | FL | DEPARTMENT OF HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kevinb@nflts.net |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA16789 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1689225757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E JEFFERSON ST",
"city": "QUINCY",
"state": "FL",
"postal_code": "323512530",
"telephone_number": "850-875-2180",
"fax_number": "850-807-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 E JEFFERSON ST",
"city": "QUINCY",
"state": "FL",
"postal_code": "323512530",
"telephone_number": "850-875-2180",
"fax_number": "850-807-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLFLOWERS",
"first_name": "KEVIN",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA16789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "SA16789",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kevinb@nflts.net",
"affiliation": "N",
"address_1": "304 E Jefferson St",
"city": "Quincy",
"state": "FL",
"country_code": "US",
"postal_code": "323512530",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Quincy, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.