Individual provider Active NPI

Susan Beverly Kane, MSCCC-SLP

  • Speech-Language Pathologist
  • Cape Coral, FL
National Provider Identifier
1790024644
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA597 Issued in FL
Practice address
316 SE 18TH Ave
Cape Coral, FL 33990-1341
Phone
(828) 989-0290
NPI assigned
Feb 12, 2013
Last updated
Feb 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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 SA597 FL Primary

Addresses

Primary practice location

316 SE 18TH Ave
Cape Coral, FL 33990-1341

Mailing address

316 SE 18TH Ave
Cape Coral, FL 33990-1341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV, WV, MT4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210107001176 FL Practitioner - Qualified Speech Language Pathologist 1052724242 Reassigns benefits to 1 organization
I20230802001413 NV Practitioner - Qualified Speech Language Pathologist 1052724242 Reassigns benefits to 1 organization
I20240405001161 WV Practitioner - Qualified Speech Language Pathologist 1052724242 Reassigns benefits to 1 organization
I20241119000991 MT Practitioner - Qualified Speech Language Pathologist 1052724242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elovee Therapy Services PAGroup PAC ID 2668843962, 6 clinicians

Practice addresses (Care Compare)

204 8TH St
Marlinton, WV 24954-1031
Phone (844) 535-6833

2106 SE 8TH Ter
Cape Coral, FL 33990-2781
Phone (844) 535-6833

3010 Santa Fe CT
FL 1
Missoula, MT 59808-1730
Phone (844) 535-6833

6605 Grand Montecito Pkwy
Suite 100
Las Vegas, NV 89149-0210
Phone (844) 535-6833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1790024644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SE 18TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 SE 18TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901341",
            "telephone_number": "828-989-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "SUSAN",
        "middle_name": "BEVERLY",
        "name_prefix": "Ms.",
        "credential": "MSCCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.