KHADIJAH VICTORIA ROSE (NPI# 1679115422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679115422 |
| Entity Type | Individual |
| Full Name | KHADIJAH VICTORIA ROSE |
| Credential | B.A SLPA |
| Practice Address |
297 N Broad St Brooksville FL 34601-2925 |
| Mailing Address |
1955 Crape Myrtle Loop Apt 102 Lutz FL 33549-4011 |
| Practice Telephone | 3527960069 |
| Practice Fax Number | 3527969194 |
| Mailing Telephone | 5617133308 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers |
| Street Address |
297 N BROAD ST |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34601-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194989301 | Katrina M Kaiser | Speech-Language Pathologist | 297 N Broad St, Brooksville, FL 34601-2925 | 2008-07-16 |
| 1033767728 | Alexis Teresa Sanchez | Speech-Language Pathologist | 297 N Broad St, Brooksville, FL 34601-2925 | 2019-08-27 |
| 1750865085 | Martha Myers | Specialist/Technologist | 297 N Broad St, Brooksville, FL 34601-2925 | 2018-09-22 |
| 1003398637 | Emily Rachel Price | Specialist/Technologist | 297 N Broad St, Brooksville, FL 34601-2925 | 2018-08-30 |
| 1093296618 | Jennifer Lynn Rosado | Specialist/Technologist | 297 N Broad St, Brooksville, FL 34601-2925 | 2018-08-22 |
| 1467823583 | Tessa Claire Folkerts | Specialist/Technologist | 297 N Broad St, Brooksville, FL 34601-2925 | 2015-10-15 |
| 1275798068 | Tia Morgan | Specialist/Technologist | 297 N Broad St, Brooksville, FL 34601 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526643 | Benzer Fl 39 LLC | Pharmacy | 80 Ponca De Leon Blvd, Brooksville, FL 34601 | 2020-04-03 |
| 1245868702 | Karon Elaine Stagg | Specialist/Technologist | 20158 Cortez Blvb, Brookesville, FL 34601 | 2020-03-31 |
| 1699253666 | Shedding Light Counseling 'llc' | Counselor | 24059 Cortez Blvd, Brooksville, FL 34601 | 2018-08-01 |
| 1265952162 | Tysheeca Deandrea Washington | Assistant Behavior Analyst | 1535 Greenbriar Villa Circle, Brooksville, FL 34601 | 2017-06-21 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1265892152 | Ralph Vitola | Pharmacist | 218 S. Broad St., Brooksville, FL 34601 | 2016-03-04 |
| 1689018301 | Nic 4 The Grande Leasing LLC | Assisted Living Facility | 725 Desoto Avenue, Brooksville, FL 34601 | 2013-04-24 |
| 1023301496 | Gerald Warren Springstead | Dentist | 605 W. Jefferson St., Brooksville, FL 34601 | 2011-05-18 |
| 1417280330 | Growing Center Counseling | Counselor | 275 W. Jefferson St., Brooksville, FL 34601 | 2009-09-10 |
| 1073663118 | Jennifer Suiters | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601 | 2007-01-11 |
| Find all providers in zip 34601 | ||||
| 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 |
|---|---|---|---|---|
| 1174132781 | Daria Moore | Specialist/Technologist | 20158 Cortez Blvd, Brooksville, FL 34601-3832 | 2020-07-29 |
| 1750865085 | Martha Myers | Specialist/Technologist | 297 N Broad St, Brooksville, FL 34601-2925 | 2018-09-22 |
| 1003398637 | Emily Rachel Price | Specialist/Technologist | 297 N Broad St, Brooksville, FL 34601-2925 | 2018-08-30 |
| 1093296618 | Jennifer Lynn Rosado | Specialist/Technologist | 297 N Broad St, Brooksville, FL 34601-2925 | 2018-08-22 |
| 1467823583 | Tessa Claire Folkerts | Specialist/Technologist | 297 N Broad St, Brooksville, FL 34601-2925 | 2015-10-15 |
| 1275798068 | Tia Morgan | Specialist/Technologist | 297 N Broad St, Brooksville, FL 34601 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | BROOKSVILLE |
| Zip Code | 34601 |
Please comment or provide details below to improve the information on KHADIJAH VICTORIA ROSE.
| 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.