Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlyn L Black, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1669980785

Kaitlyn L Black, MACCC-SLP is a Qualified Speech Language Pathologist in Bonita Springs, Florida. Qualified in 2017, 9 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018

Practice location Address checks out

27221 Bay Landing Dr
Bonita Springs, FL 34135-4355
Phone: (239) 319-4601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA16873 (FL)

Record details

NPI number1669980785
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 11, 2018
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Bonita Springs