Active NPI
Keri O'Brien, MS,CCC-SLP
- Speech-Language Pathologist
- Margate, FL
National Provider Identifier
1902818347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 8240
- Practice address
- 5576 W Sample Rd
Margate, FL 33073-3423 - Phone
- (954) 974-2977
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 Pathologist | 235Z00000X | SA 8240 | FL | Primary |
Addresses
Primary practice location
5576 W Sample Rd
Margate, FL 33073-3423
Mailing address
3260 Delray Bay Dr Apt 503
Delray Beach, FL 33483-8600
Phone (610) 613-4207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 809904100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6595 Morikami Park Rd
Delray Beach, FL 33446-2332
Phone (561) 589-6895
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 8240 | FL | MD | Speech-Language Pathologist |
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.
-
- Physical Therapist
- Coral Gables, FL
- NPI 1871972653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902818347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 DELRAY BAY DR APT 503",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334838600",
"telephone_number": "610-613-4207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5576 W SAMPLE RD",
"city": "MARGATE",
"state": "FL",
"postal_code": "330733423",
"telephone_number": "954-974-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "KERI",
"name_prefix": "Miss",
"credential": "MS,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 8240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "809904100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Margate, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.