Active NPI
Kerriann Bushnell, B.S., L-SLPA
- Speech-Language Assistant
- Winter Garden, FL
National Provider Identifier
1902672520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI5904
- Practice address
- 301 S West Crown Point Rd Ste 150
Winter Garden, FL 34787-2917 - Phone
- (407) 905-8908
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI5904 | FL | Primary |
Addresses
Primary practice location
301 S West Crown Point Rd Ste 150
Winter Garden, FL 34787-2917
Mailing address
1791 Gin Rickey Cir Apt 3407
Ocoee, FL 34761-4240
Phone (561) 818-8117
Other practice location 1
15701 SR 50 Ste 202
Clermont, FL 34711-9203
Phone (407) 693-2799
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI5904 | FL | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Services of Greater Orlando, LLC | Current | Accepting new patients |
Locations
301 S West Crown Point Rd
Ste 150
Winter Garden, FL 34787
Phone (407) 491-3825
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 and National Provider Directory roles.
-
- Occupational Therapist
- Winter Garden, FL
- NPI 1013926187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1902672520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1791 GIN RICKEY CIR APT 3407",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614240",
"telephone_number": "561-818-8117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S WEST CROWN POINT RD STE 150",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347872917",
"telephone_number": "407-905-8908"
}
],
"practiceLocations": [
{
"address_1": "15701 SR 50 Ste 202",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347119203",
"country_code": "US",
"telephone_number": "407-693-2799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSHNELL",
"first_name": "KERRIANN",
"credential": "B.S., L-SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI5904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.