Individual provider Active NPI

Kaira Lynn Ionescu, CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1871134908
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA17221 Issued in FL
Practice address
5020 Goddard Ave
Orlando, FL 32804-1177
Phone
(407) 299-1533
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA17221 FL Primary

Addresses

Primary practice location

5020 Goddard Ave
Orlando, FL 32804-1177

Mailing address

503 Erica Way
Winter Springs, FL 32708-2030
Phone (239) 898-3200

Other names 1

  • Ms. Kaira Lynn Clapper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA17221FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Speech & Language Inc Speech-Language Pathologist PastSince Oct 5, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1871134908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 ERICA WAY",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082030",
            "telephone_number": "239-898-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 GODDARD AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041177",
            "telephone_number": "407-299-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IONESCU",
        "first_name": "KAIRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAIRA",
            "last_name": "CLAPPER",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.