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KENDRA R FUSTIN
NPI 1205334463
Speech-Language Pathologist in Port Orange, FL

Active since January 23, 2018
3875 YORKTOWNE BLVD, PORT ORANGE, FL 32129(386) 465-3378 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendra R Fustin NPPES

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

KENDRA R FUSTIN (NPI 1205334463) is an individual speech-language pathologist provider in Port Orange, Florida, licensed in Florida (17370) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1205334463
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKENDRA R FUSTIN
Location Address3875 YORKTOWNE BLVDPort Orange, FL 32129-6051
Mailing Address1996 Yellowfin DrPort Orange, FL 32128-3016 · (210) 850-2024
Phone(386) 465-3378
Sole ProprietorNo
Enumeration DateJanuary 23, 2018
Last NPPES UpdateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
✔ NPI 1205334463 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 · 17370
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.
3875 YORKTOWNE BLVD, Port Orange, FL 32129
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE ELIZABETH CARNAVOS MS-CCC-SLP
Speech-Language Pathologist
3875 YORKTOWNE BLVD
PORT ORANGE, FL 32129
Volusia County (386) 465-3378
JUAN PABLO ECHAVARRIA
Occupational Therapist
3875 YORKTOWNE BLVD
PORT ORANGE, FL 32129
Volusia County (386) 465-3378

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Fustin's NPI number?

The NPI number for Kendra Fustin is 1205334463. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Kendra Fustin located?

Kendra Fustin practices at 3875 Yorktowne Blvd, Port Orange, FL 32129. The listed phone number is (386) 465-3378.

What is Kendra Fustin's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kendra Fustin was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.