Kaitlyn Kristi Phipps
Individual provider Active NPI Speech-Language Pathologist · Hollywood, FL
NPI 1992431423 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1992431423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA21731 (FL)
- Practice address
- 3335 N University Dr Ste 5
Hollywood, FL 33024-2230 - Phone
- (954) 442-9422
- NPI assigned
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|
| SA21731 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Speech Center | Speech-Language Pathologist | Past | Accepting new patients |
| Whiting Pediatric Therapy Services, LLC. | Speech-Language Pathologist | Past |
Accepting new patients |
| Specialized Speech Center, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA21731 | FL | Yes |
Addresses
Primary practice location
3335 N University Dr Ste 5
Hollywood, FL 33024-2230
Mailing address
1207 SW 123Rd Ave
Pembroke Pines, FL 33025-3786
Other practice location 1
1140 7th Ct
Vero Beach, FL 32960-5706
Phone (954) 235-2958
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115019300 | Medicaid | FL |
Other providers in Hollywood, FL
- Athlene Phillips
- Barnell Phillips III
- Basil Phillips
- Jacqueline Yevette Phillips
- Jonathan Phillips
- Physical Therapy Institute and Aquatic Rehab, Inc.
- Physician Associates of Broward Inc
- Physician Partnership Alliance LLC
- Physician Partnership Alliance LLC
- Physician'S Institute of Cosmetic and Reconstructive Surgery
All providers in Hollywood, 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 May 7, 2026. 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.