MRS. KATORYA LATIA BUSH (NPI# 1144862269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144862269 |
Entity Type | Individual |
Full Name | MRS. KATORYA LATIA BUSH |
Credential | SLP-A |
Practice Address |
330 Avenue C Se Winter Haven FL 33880-3243 |
Mailing Address |
3605 Covington Ln Lakeland FL 33810-2710 |
Practice Telephone | 8632682903 |
Mailing Telephone | 8138567541 |
Mailing Fax Number | 8639403844 |
Enumeration Date | 2019-10-09 |
Last Update Date | 2019-10-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SI4109 | FL | Speech, Language and Hearing Service Providers |
Street Address |
330 AVENUE C SE |
City | WINTER HAVEN |
State | FL |
Zip Code | 33880-3243 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023512738 | Language & Literacy Academy for Learning, Inc | Occupational Therapy Assistant | 330 Avenue C Se, Winter Haven, FL 33880-3243 | 2018-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
Find all providers in zip 33880 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1023617461 | Gabriela Crespi | Specialist/Technologist | 13865 Sw 80th St, Miami, FL 33183-3025 | 2020-10-17 |
1891393898 | Kayli Alexei Chung | Specialist/Technologist | 17010 Sw 139th Pl, Miami, FL 33177-2720 | 2020-10-12 |
1831796507 | Maggie Christine Miller | Specialist/Technologist | 3670 Nw 83rd Ln, Sunrise, FL 33351-1132 | 2020-10-06 |
1790392355 | Ashley Elyse Stept | Specialist/Technologist | 12001 Nw 50th Dr, Coral Springs, FL 33076-3522 | 2020-09-28 |
1851908438 | Maria Medinilla | Specialist/Technologist | 4064 Sw 95th Ave, Miami, FL 33165-5240 | 2020-09-28 |
1891301271 | Carlos Rene Alicea Jr. | Specialist/Technologist | 13574 Village Park Dr Ste Suite205, Orlando, FL 32837-7689 | 2020-09-21 |
1962018739 | Briana Luckie Savastano | Specialist/Technologist | 111 E Lake Mary Blvd Ste 113, Sanford, FL 32773-7111 | 2020-09-17 |
1700490851 | Katiria Mary Santana Suarez | Specialist/Technologist | 299 Longley Dr Unit B, Port Charlotte, FL 33954-1142 | 2020-09-05 |
1437762697 | Learn 2 Speak LLC | Specialist/Technologist | 10310 Granada Green Court, Riverview, FL 33578 | 2020-08-27 |
1184237729 | Jorja Ruby | Specialist/Technologist | 5140 Gate Pkwy Apt 1108, Jacksonville, FL 32256-0259 | 2020-08-24 |
Find all providers with the same taxonomy |
City | WINTER HAVEN |
Zip Code | 33880 |
Please comment or provide details below to improve the information on MRS. KATORYA LATIA BUSH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.