Kimberly Caron
Individual provider Active NPI Speech-Language Pathologist · Orlando, FL
NPI 1972932804 · NPPES record last updated Nov 1, 2013
Key facts
- NPI
- 1972932804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SZ6318 (FL)
- Practice address
- 12025 Fountainbrook Blvd
Apt 1328
Orlando, FL 32825-7046 - Phone
- (561) 312-8802
- NPI assigned
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ6318 | FL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ6318 | FL | Yes |
Addresses
Primary practice location
12025 Fountainbrook Blvd
Apt 1328
Orlando, FL 32825-7046
Mailing address
12025 Fountainbrook Blvd
Apt 1328
Orlando, FL 32825-7046
NPI Registry JSON
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1972932804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12025 FOUNTAINBROOK BLVD",
"address_2": "APT 1328",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328257046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12025 FOUNTAINBROOK BLVD",
"address_2": "APT 1328",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328257046",
"telephone_number": "561-312-8802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARON",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ6318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Carol Grant MD LLC
- Debra L Caroli
- Carolyn T. Nguyen, DMD, PA
- Jesse A Caron
- Jesse Pittard Caron
- Raymond Francis Caron
- Carrie Leigh Carpenter
- Cheryl Denise Carpenter
- Emily Carpenter
- Jada Ryan Carpenter
All providers in Orlando, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.