Individual provider Active NPI

Kevin Bellflowers, SLP

  • Speech-Language Pathologist
  • Quincy, FL
National Provider Identifier
1689225757
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA16789 Issued in FL
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

Updated by the provider on Sep 20, 2019

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 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

IdentifierTypeStateIssuer
SA16789OtherFLDEPARTMENT OF HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
SA16789FLMDSpeech-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.

Verify at the official NPI Registry.