KERRI VILLA


Address: 2165 Judge Fran Jamieson Way Apt 102, Melbourne, FL 32940-6173
Phone: 8507232826

KERRI VILLA (NPI# 1205205440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205205440
Entity Type Individual
Full Name KERRI VILLA
Credential M.S., CCC-SLP
Practice Address 2165 Judge Fran Jamieson Way Apt 102
Melbourne
FL 32940-6173
Practice Telephone 8507232826
Mailing Telephone 8507232826
Enumeration Date 2015-09-17
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SA12978 FL Speech, Language and Hearing Service Providers
N 235Z00000X Speech-Language Pathologist SLP9296 AZ Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
13801 E Benson Hwy, Vail, AZ 856419074 5208792000

Office Location

Street Address 2165 JUDGE FRAN JAMIESON WAY APT 102
City MELBOURNE
State FL
Zip Code 32940-6173

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1972133122 Curtis Lynn Curbo Social Worker 3830 Fringetree Lane, Melbourne, FL 32940 2020-01-16
1861038283 Medfast Urgent Care Centers, LLC Clinic/Center 5500 Stadium Parkway, Melbourne, FL 32940 2019-11-20
1134601594 Caroline Grace Bennett Behavior Technician 5500 Murrell Rd Suite 100, Melbourne, FL 32940 2018-09-02
1730682642 Centennial Medical Group Family Medicine 1341 Bedford Drive, Melbourne, FL 32940 2018-03-16
1356849251 Executive Non-emergency Transportation, Inc. Non-emergency Medical Transport (VAN) 3155-02 Suntree Blvd, Melbourne, FL 32940 2018-01-25
1679081160 Brevard Oaks Center, LLC Skilled Nursing Facility 2355 Vidina Drive, Viera, FL 32940 2018-01-18
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558960005 Amanda Lacroix Speech-Language Pathologist 1333 Gateway Dr, Melbourne, FL 32901-2646 2020-10-25
1689298655 Leslie Stein Speech-Language Pathologist 2584 Senator Way, Melbourne, FL 32901-6810 2020-06-04
1396365342 Kathleen Chodur Speech-Language Pathologist 8705 N Wickham Rd, Melbourne, FL 32940-5997 2020-04-20
1114407020 Natalie Havkin Speech-Language Pathologist 250 S Wickham Rd., Melbourne, FL 32904 2018-08-20
1003314139 Libby Jasmine King Speech-Language Pathologist 6550 N Wickham Rd Ste 8, Melbourne, FL 32940-2038 2018-01-23
1265947329 Jennifer Favino-sher Speech-Language Pathologist 6446 Arroyo Dr, Melbourne, FL 32940-8508 2017-12-11
1699210880 Angela Knopf Speech-Language Pathologist 721 Casa Grande Dr, Melbourne, FL 32940-7004 2016-12-27
1235672833 Megan Gonnelly Speech-Language Pathologist 484 N Wickham Rd Apt 144, Melbourne, FL 32935-8642 2016-11-30
1376090340 Katherine Thew Speech-Language Pathologist 656 Carriage Hill Road, Melbourne, FL 32940 2016-09-07
1639623341 Vianny Gordon Speech-Language Pathologist 780 S Apollo Blvd Ste 104, Melbourne, FL 32901-1402 2016-08-10
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Competitor

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City MELBOURNE
Zip Code 32940

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Dataset Information

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.

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