Kacy Lane Kreger, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012263 Issued in GA

Practice address

69 Lindsey LN Ste a
Saint Marys, GA 31558-1702

Phone

(912) 729-2294

Fax

(912) 673-9457

NPI assigned

May 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Advance for Kids Inc

  • Physical Therapist
  • Saint Marys, GA
  • NPI 1700075124

  Speech-Language Pathologist

  NPD (past)
• The Language Learning Center

  • Speech-Language Pathologist
  • Saint Marys, GA
  • NPI 1760506430
  NPD (past)

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

{
    "created_epoch": "1463270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1811344385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WINDING RD APT 2301",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315481136",
            "telephone_number": "904-229-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 LINDSEY LN STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581702",
            "telephone_number": "912-729-2294",
            "fax_number": "912-673-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREGER",
        "first_name": "KACY",
        "middle_name": "LANE",
        "name_prefix": "Miss",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-15",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15431",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine C King, OTR/L
• Kellie King, PMHNP-BC
• Clayton Harvey Klima, LPC
• Jaddah Knight, RBT
• Virginia Anne Knight, FNP
• Kristiansson Roth PC
• Lacanilao Medical Management PC
• Angelito Buencamino Lacanilao, M.D.
• Megan E. Lavery, LPC
• William H Lawrence, D.C.

• All providers in Saint Marys, GA
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.