NPIMap

Organization Active NPI

Emerald Coast Speech Services LLC

  • Speech-Language Pathologist
  • Niceville, FL
National Provider Identifier
1710290309
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA7885 Issued in FL
Legal business name
EMERALD COAST SPEECH SERVICES LLC
Practice address
1069 John Sims Pkwy E Ste 4
Niceville, FL 32578-2768
Phone
(850) 897-3013
Fax
(850) 897-0149
NPI assigned
Jul 23, 2010
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Mrs. Kristen Marie Bowers, M.S. CCC-SLPNPI 1518180983
Title
Owner/Speech Pathologist
Phone
(850) 897-3013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA7885 FL Primary

Addresses

Primary practice location

1069 John Sims Pkwy E Ste 4
Niceville, FL 32578-2768

Mailing address

1069 John Sims Pkwy E Ste 4
Niceville, FL 32578-2768
Phone (850) 897-3013

National Provider Directory

National Provider Directory

Locations

1069 John Sims Pkwy E
Ste 4
Niceville, FL 32578
Phone (850) 729-8050

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1710290309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 JOHN SIMS PKWY E STE 4",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782768",
            "telephone_number": "850-897-3013",
            "fax_number": "850-897-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 JOHN SIMS PKWY E STE 4",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782768",
            "telephone_number": "850-897-3013",
            "fax_number": "850-897-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST SPEECH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "850-897-3013",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.