MISS KACY LANE KREGER


Address: 2753 Shangri La Dr, Jacksonville, FL 32233
Phone: 9042475988

MISS KACY LANE KREGER (NPI# 1811344385) 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) 1811344385
Entity Type Individual
Full Name MISS KACY LANE KREGER
Credential M.A., CCC-SLP
Practice Address 2753 Shangri La Dr
Jacksonville
FL 32233
Mailing Address 332 S 6th St Apt 1
Fernandina Beach
FL 32034-4650
Practice Telephone 9042475988
Mailing Telephone 6306063583
Enumeration Date 2016-05-15
Last Update Date 2018-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SA15431 FL Speech, Language and Hearing Service Providers
N 235Z00000X Speech-Language Pathologist WI Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
850310 Us Highway 17, Yulee, FL 320979036 6306063583
9244 29th Ave, Kenosha, WI 531436602 2926940080

Office Location

Street Address 2753 SHANGRI LA DR
City JACKSONVILLE
State FL
Zip Code 32233

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NPI Name Taxonomy Address Enumeration
1881223469 Ethem Gokdeniz Private Vehicle 2274 Fairway Villas Ln North, Atlantic Beach, FL 32233 2020-04-06
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1407233489 Meghan Braun Physical Therapist 2159 Featherwood Drive West, Atlantic Beach, FL 32233 2015-04-29
1184979908 Hope and A Future Ministries, Inc. Clinic/Center 680 Mayport Rd., Atlantic Beach, FL 32233 2012-07-18
1003171588 Cheryl M Thacker Massage Therapist 531 Atlantic Boulevard, Ste 7, Atlantic Beach, FL 32233 2012-07-10
1730465451 Jeffery Kreck Physical Therapy Assistant 1401 Defender Court West, Atlantic Beach, FL 32233 2011-10-26
1992977029 Jax Rx Inc Durable Medical Equipment & Medical Supplies 1174 Beach Ave, Atlantic Beach, FL 32233 2008-03-28
1336368059 Lovell L. Farris Dentist 10 10th St, Unit 3a, Atlantic Beach, FL 32233 2007-04-24
1033284922 Maureen C Baxter Nurse Practitioner 815 Plaza, Jacksonville, FL 32233 2006-11-24
1063529113 Evelyn Limcangco Herrera Dentist 2292 Mayport Rd, Suite #17, Jacksonville, FL 32233 2006-08-24
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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
1245848514 Danielle Huckaba Speech-Language Pathologist 12023 Wren Hollow Ct, Jacksonville, FL 32246-7787 2020-07-22
1699392209 Paige E Searcy Speech-Language Pathologist 907 Greenridge Rd, Jacksonville, FL 32207-5251 2020-06-30
1568086619 Carmen Schneider Speech-Language Pathologist 7701 Timberlin Park Blvd Apt 831, Jacksonville, FL 32256-5447 2020-06-04
1730702713 Jennifer Horn Debardeleben Speech-Language Pathologist 2101 W Palm Ave, Jacksonville, FL 32254-1734 2020-05-25
1508485509 Growing Voices Therapies, LLC Speech-Language Pathologist 12964 Julington Ridge Dr E, Jacksonville, FL 32258-3412 2020-04-10
1215561352 Lori Connon Speech-Language Pathologist 2334 Covington Creek Cir W, Jacksonville, FL 32224-1177 2020-02-27
1922631779 Homegrown Communication-slp, LLC Speech-Language Pathologist 5163 Shirley Ave, Jacksonville, FL 32210-3145 2020-02-20
1194357517 Lauren Lynne Blunk Speech-Language Pathologist 1010 N Davis St, Jacksonville, FL 32209-6824 2020-02-05
1669018255 Ying Dong Speech-Language Pathologist 7262 Deerfoot Point Cir Unit 3, Jacksonville, FL 32256-8623 2019-11-19
1710543764 Lesley Nicole Summers Speech-Language Pathologist 6817 Southpoint Pkwy Ste 1701, Jacksonville, FL 32216-6298 2019-05-15
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Competitor

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City JACKSONVILLE
Zip Code 32233

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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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