Active NPI
Kernaghan and Moore: Speech and Language Therapy Services, Inc.
- Speech-Language Pathologist
- Zephyrhills, FL
National Provider Identifier
1821767112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- KERNAGHAN AND MOORE: SPEECH AND LANGUAGE THERAPY SERVICES, INC.
- Practice address
- 5741 Gall Blvd
Zephyrhills, FL 33542-3453 - Phone
- (727) 376-1111
- Fax
- (727) 376-1113
- NPI assigned
- Sep 9, 2021
- Organization subpart
- Yes
- Parent organization
- KERNAGHAN AND MOORE SPEECH AND LANGUAGE THERAPY SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Irene Kernaghan
- Title
- Ceo
- Phone
- (727) 376-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
5741 Gall Blvd
Zephyrhills, FL 33542-3453
Mailing address
6245 State Road 54
New Port Richey, FL 34653-6006
Phone (727) 376-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108019000 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Kernaghan and Moore Speech
- Part of
- Kernaghan and Moore Speech
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Spring Hill, FL
- NPI 1033888318
-
- Speech-Language Pathologist
- New Port Richey, FL
- NPI 1467693192
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Speech-Language Pathologist
- New Port Richey, FL
- NPI 1467693192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631145600000",
"number": "1821767112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6245 STATE ROAD 54",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346536006",
"telephone_number": "727-376-1111",
"fax_number": "727-376-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5741 GALL BLVD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335423453",
"telephone_number": "727-376-1111",
"fax_number": "727-376-1113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KERNAGHAN AND MOORE: SPEECH AND LANGUAGE THERAPY SERVICES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KERNAGHAN AND MOORE SPEECH AND LANGUAGE THERAPY SERVICES INC",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A",
"authorized_official_last_name": "KERNAGHAN",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "IRENE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-376-1111"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108019000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zephyrhills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.