Organization Active NPI

Kernaghan and Moore: Speech and Language Therapy Services, Inc.

  • Speech-Language Pathologist
  • Zephyrhills, FL
National Provider Identifier
1821767112
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
108019000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Kernaghan and Moore Speech3 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.