Active NPI
Kaley Harlacher
- Speech-Language Pathologist
- Port Orange, FL
National Provider Identifier
1730547563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ7488
- Practice address
- 900 N Swallow Tail Dr
107
Port Orange, FL 32129-6102 - Phone
- (386) 446-9935
- NPI assigned
- Feb 8, 2016
- Last updated
- Feb 8, 2016
- Sex
- Female
- Sole proprietor
- No
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 | SZ7488 | FL | Primary |
Addresses
Primary practice location
900 N Swallow Tail Dr
107
Port Orange, FL 32129-6102
Mailing address
1224 Mellisa Dr
Port Orange, FL 32129-7432
Phone (386) 506-1789
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 |
|---|---|---|---|
| SZ7488 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1730547563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 MELLISA DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321297432",
"telephone_number": "386-506-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N SWALLOW TAIL DR",
"address_2": "107",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321296102",
"telephone_number": "386-446-9935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLACHER",
"first_name": "KALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ7488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.