KATHLEEN SPENCER M.S., CCC-SLP
NPI 1013313212
Speech-Language Pathologist in Port Charlotte, FL

Active since November 15, 2014Accepts Medicare Assignment
15152 BUSWELL AVE, PORT CHARLOTTE, FL 33953(941) 391-2583 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kathleen Spencer M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN SPENCER M.S., CCC-SLP (NPI 1013313212) is an individual speech-language pathologist provider in Port Charlotte, Florida, licensed in Florida (SA7400) and active in the NPI registry since November 2014. She is a graduate of Other (2002).

NPPES Registry Identity

NPI1013313212
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATHLEEN SPENCERCredential: M.S., CCC-SLP
Location Address15152 BUSWELL AVEPort Charlotte, FL 33953-2007
Mailing Address15152 Buswell AvePort Charlotte, FL 33953-2007 · (941) 391-2583
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 15, 2014
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
NPI 1013313212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in FL · SA7400
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.

15152 BUSWELL AVE, Port Charlotte, FL 33953

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathleen Spencer M.s., Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123342094
PECOS Enrollment IDI20150123002196

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013313212, enumerated as an "individual" on November 15, 2014.

The provider is located at 15152 BUSWELL AVE PORT CHARLOTTE, FL 33953 and the phone number is (941) 391-2583.

Speech-Language Pathologist with taxonomy code 235Z00000X.