Active NPI
Kids Speech2Go LLC
- Speech-Language Pathologist
- Coconut Creek, FL
National Provider Identifier
1831577147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA4453
- Legal business name
- KIDS SPEECH2GO LLC
- Practice address
- 4848 NW 58TH MNR
Coconut Creek, FL 33073-2330 - Phone
- (954) 649-7080
- NPI assigned
- May 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel L Stern
- Title
- Owner/President
- Phone
- (954) 649-7080
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA4453 | FL | Primary |
Addresses
Primary practice location
4848 NW 58TH MNR
Coconut Creek, FL 33073-2330
Mailing address
4848 NW 58TH Manor
Coconut Creek, FL 33073-2230
Phone (954) 649-7080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010689700 | Other | FL | EARLY STEPS MEDICAID |
| 883893300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Coconut Creek, FL
- NPI 1417079138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430956800000",
"number": "1831577147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4848 NW 58TH MANOR",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330732230",
"telephone_number": "954-649-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4848 NW 58TH MNR",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330732330",
"telephone_number": "954-649-7080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS SPEECH2GO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-07",
"last_updated": "2015-05-07",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "954-649-7080"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA4453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EARLY STEPS MEDICAID",
"identifier": "010689700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "883893300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.