Stephanie Kimmerling Lane, MS, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ10401 Issued in FL

Practice address

5741 Gall Blvd
Zephyrhills, FL 33542-3453

Phone

(727) 376-1111

Fax

(727) 376-1113

NPI assigned

Oct 4, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Therapy Pathways LLC

  • Speech-Language Pathologist
  • Zephyrhills, FL
  • NPI 1720717291
  NPD Authorized official

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1891467288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7338 STEER BLADE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335419162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335423453",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6245 State Road 54",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346536006",
            "country_code": "US",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1226 Mariner Blvd",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346095657",
            "country_code": "US",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7338 Steer Blade Dr",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335419162",
            "country_code": "US",
            "telephone_number": "321-360-6775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "STEPHANIE",
        "middle_name": "KIMMERLING",
        "credential": "MS, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE, DEPT OF HEALTH, BD OF SLP",
            "identifier": "SZ10401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheilla Laguerre, PHMNP
• Everet Lake
• Noela Lalime, PT, DPT
• Lamplighter Furniture
• Christopher Lancaster, PA-C
• Lappano Eye Care and Associates PA
• Larry M. Perich Dopa (Perich Eye Center)
• Debra Lastarria, M.D.
• Randall Lavender II
• Layne Medical Supply, Inc.

• Speech-Language Pathologist in Zephyrhills, FL
• Providers in Zephyrhills, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.