Elena Kaloustian

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA9469 Issued in FL

Practice address

6821 Eden LN
Tampa, FL 33634-4711

Phone

(813) 243-0730

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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.

• Lets Talk Speech Therapy Services LLC

  • Speech-Language Pathologist
  • Tampa, FL
  • NPI 1063732410
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1710022413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 EDEN LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344711",
            "telephone_number": "813-352-8005",
            "fax_number": "813-515-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 EDEN LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344711",
            "telephone_number": "813-243-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOUSTIAN",
        "first_name": "ELENA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000279000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891983600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelo Kallimutoo, APRN
• Vasiliki Kallivrousis
• Federico Kallmann Cruz, MD
• Kelley Kallon, M.ED., BCBA
• Preeti Kallu, MD
• Naresh Arjandas Kalra, DDS
• Rajiv N Kalra, DMD
• Kaly Psychological Services Inc.
• Perry W Kaly, PHD
• Linda W. Kam, PHARM.D.

• Speech-Language Pathologist in Tampa, FL
• Providers in Tampa, 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 Nov 26, 2018; 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.