Individual provider Active NPI

Kerry Lee Lenius, M.S.

  • Speech-Language Pathologist
  • Gainesville, FL
National Provider Identifier
1871715706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA6629 Issued in FL
Practice address
1600 S.W. Archer Road
2ND Floor, Dental Tower
Gainesville, FL 32610-0174
Phone
(352) 273-5289
Fax
(352) 856-1565
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SA6629 FL Primary

Addresses

Primary practice location

1600 S.W. Archer Road
2ND Floor, Dental Tower
Gainesville, FL 32610-0174

Mailing address

1600 SW Archer Rd
2ND FL Dental Tower
Gainesville, FL 32610-3003
Phone (352) 273-6164

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA6629FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871715706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "2ND FL DENTAL TOWER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-273-6164",
            "fax_number": "352-392-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S.W. ARCHER ROAD",
            "address_2": "2ND FLOOR, DENTAL TOWER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100174",
            "telephone_number": "352-273-5289",
            "fax_number": "352-856-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENIUS",
        "first_name": "KERRY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.