Organization Active NPI

Kix4Kidstherapy

  • Speech-Language Pathologist
  • Spring Hill, FL
National Provider Identifier
1942517636
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9778 Issued in FL
Legal business name
KIX4KIDSTHERAPY
Practice address
3381 Mariner Blvd
Spring Hill, FL 34609-2461
Phone
(352) 585-5234
Fax
(352) 678-3730
NPI assigned
Sep 2, 2010
Last updated
Sep 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Michael J Riddle
Title
President
Phone
(352) 585-5234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA9778 FL Primary

Addresses

Primary practice location

3381 Mariner Blvd
Spring Hill, FL 34609-2461

Mailing address

3381 Mariner Blvd
Spring Hill, FL 34609-2461
Phone (352) 585-5234

National Provider Directory

National Provider Directory

Locations

3381 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 585-5234

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1942517636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092461",
            "telephone_number": "352-585-5234",
            "fax_number": "352-678-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092461",
            "telephone_number": "352-585-5234",
            "fax_number": "352-678-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIX4KIDSTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-585-5234"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.