KREDO HEALTH LLC NPI 1427796630

NPI Information

  • NPI: 1427796630
  • Provider Name: KREDO HEALTH LLC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 1939 MAGUIRE RD STE 107-108
    WINDERMERE, FL
    ZIP 34786
  • Phone: (407) 473-8005

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NPI Details

KREDO HEALTH LLC is a speech language pathologist in Windermere, FL. The provider is 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. KREDO HEALTH LLC NPI is 1427796630. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1939 MAGUIRE RD STE 107-108
WINDERMERE, FL
ZIP 34786-942
Phone: (407) 473-8005

The provider's authorized official is Soaud Cornell .
The authorized official title is Managing Member and has the following contact phone number (407) 619-8156.

The enumeration date for this NPI number is 5/26/2022 and was last updated on 10/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation MedicineNo
2225X00000XOccupational TherapistNo
3235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1114416000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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