Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063552404 Individual Practitioner Female Practitioner

Kai Jeanine Long , MA

Speech-Language Pathologist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Kai Long, MA is a registered healthcare professional specializing in Speech-Language Pathologist in St Augustine, FL. Practice services are available at 190 SOUTHPARK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

190 Southpark Blvd
Suite 100

St Augustine, FL 320864120

Telephone 9048241478
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
100 Specialists

Practicing in St Augustine, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA8605

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
891547400 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Dr. Kaycie White , PT, DPT

Physical Therapist

NPI 1083389050

Physical Therapist, Doctor of Physical Therapy

NPI 1114740222

Physical Therapist, Doctor of Physical Therapy

Dr. Kaylie Macgregor , DPT

Physical Therapist

NPI 1114745130

Doctor of Physical Therapy

Dr. Anne Boddy , DPT

Physical Therapist

NPI 1154460343

Doctor of Physical Therapy

NPI 1265618987

Doctor of Physical Therapy, Orthopedic Clinical Specialist, MTC

Mark Mckenzie

Occupational Therapist

NPI 1275017972

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 01, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2008

Registered at 190 SOUTHPARK BLVD, SUITE 100, ST AUGUSTINE, FL 320864120 (Tel: 9048241478)

📍
Updated Business Mailing Address May 01, 2008

Registered at 605 TWENTY SECOND STREET, ST. AUGUSTINE, FL 32084 (Tel: 9048246924)

👤
Provider Name / Credentials Updated May 01, 2008

Recorded as KAI LONG, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2008

Speech-Language Pathologist (License #SA8605 in FL)

🟢
Initial NPI Registration & Enumeration February 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063552404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2007
Last Update: May 01, 2008
Sole Proprietor: No

Mailing Address

605 Twenty Second Street

St. Augustine, FL 32084

Phone: 9048246924

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.