KHADIJAH VICTORIA ROSE B.A SLPA
NPI 1679115422
Specialist/Technologist - Speech-Language Assistant in Brooksville, FL

Active since October 14, 2019
297 N BROAD ST, BROOKSVILLE, FL 34601(352) 796-0069(352) 796-9194 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Khadijah Victoria Rose B.a Slpa NPPES

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

KHADIJAH VICTORIA ROSE B.A SLPA (NPI 1679115422) is an individual speech-language assistant in Brooksville, Florida and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1679115422
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameKHADIJAH VICTORIA ROSECredential: B.A SLPA
Location Address297 N BROAD STBrooksville, FL 34601-2925
Mailing Address1955 Crape Myrtle Loop Apt 102Lutz, FL 33549-4011 · (561) 713-3308
Fax(352) 796-9194
Sole ProprietorYes
Enumeration DateOctober 14, 2019
✔ NPI 1679115422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
297 N BROAD ST, Brooksville, FL 34601

Other Providers at the Same Location NPPES 4

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

Specialist/Technologist (Speech-Language Assistant)
297 N BROAD ST
BROOKSVILLE, FL 34601
Speech-Language Pathologist
297 N BROAD ST
BROOKSVILLE, FL 34601
Specialist/Technologist (Speech-Language Assistant)
297 N BROAD ST
BROOKSVILLE, FL 34601
Specialist/Technologist (Speech-Language Assistant)
297 N BROAD ST
BROOKSVILLE, FL 34601

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 Khadijah Rose's NPI number?

The NPI number for Khadijah Rose is 1679115422. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Khadijah Rose located?

Khadijah Rose practices at 297 N Broad St, Brooksville, FL 34601. The listed phone number is (352) 796-0069.

What is Khadijah Rose's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Khadijah Rose was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.