Kim McLeod, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13407 Issued in FL

Practice address

820 Silverwood Dr
Lake Mary, FL 32746-4950

Phone

(321) 377-2595

NPI assigned

Sep 2, 2015

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 names 1

• Kim L Moller Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1902274335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SILVERWOOD DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464950",
            "telephone_number": "321-377-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SILVERWOOD DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464950",
            "telephone_number": "321-377-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "KIM",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "MOLLER",
            "middle_name": "L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bobbi Marie McGrady
• Carmen McGuinness, BCBA-D
• Luke Leon McIntosh, PT
• Tamera McKenzie
• Garnet Indigo McLaughlin
• Alicia Gamble McLoone, PA-C
• Leslie Alina McMullen, MS, CCC-SLP
• Michelle Ann McMurtery, RD, CSR, LDN
• Anne McNamara, DPM
• Med-Ride of Florida LLC

• Speech-Language Pathologist in Lake Mary, FL
• Providers in Lake Mary, 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 Sep 2, 2015; 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.