KAITLYN L BLACK M.A. CCC-SLP
NPI 1669980785
Speech-Language Pathologist in Bonita Springs, FL
About Kaitlyn L Black M.a. Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLYN L BLACK M.A. CCC-SLP (NPI 1669980785) is an individual speech-language pathologist provider in Bonita Springs, Florida, licensed in Florida (SA16873) and active in the NPI registry since January 2018. She is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaitlyn L Black M.a. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kaitlyn Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Naples, FL 34120
- Reassigned Medicare billing, Florida enrollment
- 21 clinicians in this Medicare group
Coral Gables, FL 33146
- Reassigned Medicare billing, Florida enrollment
- 248 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BONITA SPRINGS, FL 34135
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 Kaitlyn Black's NPI number?
The NPI number for Kaitlyn Black is 1669980785. It was assigned to this individual provider in the NPPES registry on January 11, 2018.
Where is Kaitlyn Black located?
Kaitlyn Black practices at 27221 Bay Landing Dr, Bonita Springs, FL 34135. The listed phone number is (239) 319-4601.
What is Kaitlyn Black's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Kaitlyn Black enrolled in Medicare?
Yes. Kaitlyn Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kaitlyn Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Black reassigns Medicare benefits to 2 organizations: Ippolito Rehabilitation, LLC (Naples, FL) and Healthpro Heritage Rehab & Fitness, LLC (Coral Gables, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlyn Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kaitlyn Black was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Kaitlyn L Black, M.A. CCC-SLP · NPI 1669980785
Speech-Language Pathologist provider in Bonita Springs, Florida. Individual provider, active in the CMS NPPES registry since January 11, 2018.
## Identity
- **NPI:** 1669980785 (Entity type: Individual)
- **Enumerated:** January 11, 2018
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** SA16873 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 27221 BAY LANDING DR, Bonita Springs, FL 34135-4355
- **Phone:** (239) 319-4601
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ippolito Rehabilitation, LLC (NPI 1386140754, Naples, FL); Healthpro Heritage Rehab & Fitness, LLC (NPI 1871972653, Coral Gables, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1669980785) · Data from the CMS NPPES public registry.