Individual provider Active NPI

Katherine Paredes, MS., CCC-SLP

  • Speech-Language Pathologist
  • Kissimmee, FL
National Provider Identifier
1790290427
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA21018 Issued in FL
Practice address
5250 Giron Cir
Kissimmee, FL 34758-2057
Phone
(407) 201-4040
Fax
(407) 429-3973
NPI assigned
Dec 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ8729 FL
Speech-Language Pathologist 235Z00000X SA21018 FL Primary

Addresses

Primary practice location

5250 Giron Cir
Kissimmee, FL 34758-2057

Mailing address

7268 Canali Way
Winter Garden, FL 34787-0118
Phone (407) 463-1099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401003028 FL Practitioner - Qualified Speech Language Pathologist 7214372903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA21018FLMDSpeech-Language Pathologist
SZ8729FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mrs K Speech, LLC Speech-Language Pathologist CurrentSince Feb 2, 2025 Accepting new patients

Locations

5250 Giron Cir
Kissimmee, FL 34758
Phone (407) 201-4040

4401 E Colonial Dr
Ste 107
Orlando, FL 32803
Phone (407) 898-5060

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1790290427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7268 CANALI WAY",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347870118",
            "telephone_number": "407-463-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 GIRON CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582057",
            "telephone_number": "407-201-4040",
            "fax_number": "407-429-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "MS., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8729",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA21018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.