Individual provider Active NPI

James Kniseley, MS CCC, SLP

  • Speech-Language Pathologist
  • West Palm Beach, FL
National Provider Identifier
1790019834
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 6851 Issued in FL
Practice address
8110 Oakton CT # 10C
West Palm Beach, FL 33406-8460
Phone
(561) 889-5809
NPI assigned
Sep 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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 SA 6851 FL Primary

Addresses

Primary practice location

8110 Oakton CT # 10C
West Palm Beach, FL 33406-8460

Mailing address

8110 Oakton CT #10C
West Palm Beach, FL 33406-7835
Phone (561) 889-5809

Other identifiers 1

IdentifierTypeStateIssuer
001958000MedicaidFL

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA 6851FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1790019834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 OAKTON CT #10C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067835",
            "telephone_number": "561-889-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 OAKTON CT # 10C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334068460",
            "telephone_number": "561-889-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNISELEY",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MS CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001958000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.