Active NPI
Karen Eileen Kozy-Landress, M.ED., M.A., CCC-SLP
- Speech-Language Pathologist
- Merritt Island, FL
National Provider Identifier
1861409930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA-5827
- Practice address
- 1327 George Edwards CT
Merritt Island, FL 32953-4458 - Phone
- (321) 537-8762
- Fax
- (321) 452-0134
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA-5827 | FL | Primary |
Addresses
Primary practice location
1327 George Edwards CT
Merritt Island, FL 32953-4458
Mailing address
1327 George Edwards CT
Merritt Island, FL 32953-4458
Phone (321) 537-8762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 830045300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13810 Sheldon Rd
Tampa, FL 33626-3619
Phone (813) 820-5908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA-5827 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Coral Gables, FL
- NPI 1871972653
Speech-Language Pathologist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861409930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 GEORGE EDWARDS CT",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329534458",
"telephone_number": "321-537-8762",
"fax_number": "321-452-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 GEORGE EDWARDS CT",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329534458",
"telephone_number": "321-537-8762",
"fax_number": "321-452-0134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZY-LANDRESS",
"first_name": "KAREN",
"middle_name": "EILEEN",
"credential": "M.ED., M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA-5827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "830045300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.