Organization Active NPI

Kids Speech2Go LLC

  • Speech-Language Pathologist
  • Coconut Creek, FL
National Provider Identifier
1831577147
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA4453 Issued in FL
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

Updated by the provider on May 7, 2015

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

Authorized official

Name
Rachel L SternNPI 1417079138
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
010689700OtherFLEARLY STEPS MEDICAID
883893300MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.