KIDS TALK PLACE LLC (NPI# 1679590632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679590632 |
| Entity Type | Organization |
| Organization Name | KIDS TALK PLACE LLC |
| Practice Address |
4624 Summerdale Dr Pace FL 32571-1368 |
| Practice Telephone | 8509825798 |
| Practice Fax Number | 8509943476 |
| Mailing Telephone | 8509943456 |
| Mailing Fax Number | 8509943476 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-09-24 |
| Authorized Official Name | MARJORIE M SMITH (OWNER) |
| Authorized Official Telephone | 8509825798 |
| Authorized Official Credential | MS CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 889624100 | 05 | |
| FL | 889624101 | 05 | |
| FL | BCBS NUMBER | T0925 | 01 |
| FL | 889624102 | 05 |
| Street Address |
4624 SUMMERDALE DR |
| City | PACE |
| State | FL |
| Zip Code | 32571-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137576 | Ashley Nicole Stefka | Occupational Therapist | 4624 Summerdale Dr, Pace, FL 32571-1368 | 2020-06-01 |
| 1689222010 | Jessica Gomez | Speech-Language Pathologist | 4624 Summerdale Dr, Pace, FL 32571-1368 | 2019-08-28 |
| 1154887867 | Lori Noelle Corley | Occupational Therapist | 4624 Summerdale Dr, Pace, FL 32571-1368 | 2019-02-18 |
| 1700340726 | Kathryn Toole | Speech-Language Pathologist | 4624 Summerdale Dr, Pace, FL 32571-1368 | 2019-01-23 |
| 1952821407 | Shelby Reeder | Speech-Language Pathologist | 4624 Summerdale Dr, Pace, FL 32571-1368 | 2017-06-26 |
| 1578093159 | Kassidy Shaye Williams | Speech-Language Pathologist | 4624 Summerdale Dr, Pace, FL 32571-1368 | 2017-06-15 |
| 1902337868 | Tiffany Mcgrath | Speech-Language Pathologist | 4624 Summerdale Dr, Pace, FL 32571-1368 | 2017-03-22 |
| 1699213421 | Tara Denney | Occupational Therapist | 4624 Summerdale Dr, Pace, FL 32571-1368 | 2017-01-31 |
| 1609233477 | Kimberly Cleveland | Physical Therapist | 4624 Summerdale Dr, Pace, FL 32571-1368 | 2016-01-25 |
| 1932511508 | Kelsey Ann Watrol | Speech-Language Pathologist | 4624 Summerdale Dr, Pace, FL 32571-1368 | 2014-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| Find all providers in zip 32571 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406440 | Northland Hearing Centers, Inc. | Clinic/Center | 13710 Metropolis Ave Ste 101, Fort Myers, FL 33912-7144 | 2020-10-26 |
| 1063019172 | Northland Hearing Center, Inc. | Clinic/Center | 2400 Sw College Rd Ste 202, Ocala, FL 34471-4770 | 2020-10-02 |
| 1801493002 | Northland Hearing Center, Inc. | Clinic/Center | 907 Mar Walt Dr Ste 2012, Fort Walton Beach, FL 32547-6756 | 2020-10-01 |
| 1750988960 | Northland Hearing Center, Inc. | Clinic/Center | 1000 S Jefferson St Ste E, Perry, FL 32348-4607 | 2020-10-01 |
| 1548867740 | Northland Hearing Center, Inc. | Clinic/Center | 4100 S Ferdon Blvd Ste A5, Crestview, FL 32536-5287 | 2020-10-01 |
| 1386241586 | Northland Hearing Center, Inc. | Clinic/Center | 950 N Collier Blvd Ste 402, Marco Island, FL 34145-2722 | 2020-10-01 |
| 1154928349 | Northland Hearing Center, Inc. | Clinic/Center | 2209 Santa Barbara Blvd Ste 102, Cape Coral, FL 33991-4333 | 2020-10-01 |
| 1285240697 | Hear Usa | Clinic/Center | 3618 Kiessel Rd, The Villages, FL 32163-2910 | 2020-09-21 |
| 1003427600 | Takes2tolingo, LLC | Clinic/Center | 13712 18th Pl E, Bradenton, FL 34212-9178 | 2020-08-17 |
| 1164032611 | Speechrx LLC | Clinic/Center | 1762 Sw Crane Creek Cir, Palm City, FL 34990-2232 | 2020-08-08 |
| Find all providers with the same taxonomy | ||||
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| 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.