Kaitlyn L. Black, M.A. CCC-SLP
NPI 1669980785ActiveIndividual· Speech-Language Pathologist· Bonita Springs, FL
Speech-Language Pathologist (M.A. CCC-SLP) with Healthpro Heritage Rehab and Fitness LLC and 1 other group, practicing in Bonita Springs, Florida. Medicare paid $58,224 for services to 30 patients in 2024.
Overview
| NPI | 1669980785 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A. CCC-SLP |
| Sole proprietor | Yes |
| NPI issued | Jan 11, 2018 |
| Last updated in NPPES | Apr 12, 2022 |
| Certified by provider | Apr 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SA16873 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 30 |
|---|---|
| Services billed | 929 across 4 procedure codes |
| Paid by Medicare | $58,224 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
| Telehealth | Offers telehealth |
Medical groups
- Healthpro Heritage Rehab and Fitness LLCKingwood, TX · 969 clinicians
- Ippolito Rehabilitation LLCNaples, FL · 17 clinicians
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