Kayli Alexei Chung

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

17010 SW 139TH PL
Miami, FL 33177-2720

Phone

(786) 468-6703

NPI assigned

Oct 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1891393898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17010 SW 139TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772720",
            "telephone_number": "786-468-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17010 SW 139TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772720",
            "telephone_number": "786-468-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "KAYLI",
        "middle_name": "ALEXEI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "UNKNOWN",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CentralReach",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17010 SW 139th Pl",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331772720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jose Antonio Chumpitaz
• Surya Narayana Murthy Chundru, M.D.
• Olive Violet Chung James, MD
• Cecilia Pilar Chung Nakandakari, MD
• Katherine D Chung, M.D.
• Farah Sultan Chuong, MD
• Michael Chuong, MD
• Yoandra Church, M.S., CCC-SLP
• Yiliam Chuy
• Gaetano Ciancio, MD, MBA

• Speech-Language Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.