Individual provider Active NPI

Erica Bret Kochis, MS CCC-SLP

  • Speech-Language Pathologist
  • New Smyrna Beach, FL
National Provider Identifier
1922686864
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA19016 Issued in FL
Practice address
140 Wallace Rd
New Smyrna Beach, FL 32168-8069
Phone
(386) 427-4866
NPI assigned
Mar 31, 2021
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1425507 FL
Speech-Language Pathologist 235Z00000X SA19016 FL Primary

Addresses

Primary practice location

140 Wallace Rd
New Smyrna Beach, FL 32168-8069

Mailing address

821 Pine Shores Cir
New Smyrna Beach, FL 32168-6187
Phone (386) 689-9272

Other practice location 1

1219 Dunn Ave
Daytona Beach, FL 32114-2405
Phone (386) 944-7856

Other practice location 2

125 Executive Cir
Daytona Beach, FL 32114-1180
Phone (386) 689-9272

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
Master of Science

State licenses

LicenseStateTypeSpecialty
1425507FLMDSpeech-Language Pathologist
SA19016FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1922686864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 PINE SHORES CIR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686187",
            "telephone_number": "386-689-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WALLACE RD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688069",
            "telephone_number": "386-427-4866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 Dunn Ave",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142405",
            "country_code": "US",
            "telephone_number": "386-944-7856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Executive Cir",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321141180",
            "country_code": "US",
            "telephone_number": "386-689-9272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCHIS",
        "first_name": "ERICA",
        "middle_name": "BRET",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "1425507",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA19016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.