MR. KENNETH J SMEDS (MA CCC/SLP) – Speech-Language Pathologist, NPI 1639362106

MR. KENNETH J SMEDS (MA CCC/SLP) is a healthcare provider. based in Jensen beach, Florida. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MA CCC/SLP. They hold a License No. SA5175 (FL). The NPI Number for MR. KENNETH J SMEDS (MA CCC/SLP) is 1639362106

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. KENNETH J SMEDS (MA CCC/SLP)
NPI
1639362106
Phone
(772) 334-1227
Address
940 NE JENSEN BEACH BLVD
Enumeration Date
19 August 2007
Last Update Date
19 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7867709480
Graduation Year
1997 (29 years ago)
PAC ID
6800113390
Group Practice PAC ID
4789994336
Professional Enrollment ID
I20150323000243
Address ID
FL349862507PO279XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

570 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in FL

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Provider Addresses for MR. KENNETH J SMEDS (MA CCC/SLP)

  • 940, Northeast Jensen Beach Boulevard, Skyline Heights, Jensen Beach, Martin County, Florida, 34957, United States

    JENSEN BEACH, FL 349574704

    Phone: (772) 334-1227

    Fax: (772) 334-0225

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150323000243IQualified Speech Language PathologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34957)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789994336View full group profile
NameSpecialtyState
Qualified Speech Language PathologistFL
Occupational Therapist In Private PracticeNY
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Qualified Speech Language PathologistPR
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Where can patients find MR. KENNETH J SMEDS (MA CCC/SLP)'s NPI?
You can confirm MR. KENNETH J SMEDS (MA CCC/SLP) with NPI 1639362106; it appears in the national provider directory.
Is MR. KENNETH J SMEDS (MA CCC/SLP) currently active in the NPI registry?
CMS-published data lists MR. KENNETH J SMEDS (MA CCC/SLP) as an active registrant.
Can you summarize MR. KENNETH J SMEDS (MA CCC/SLP)'s specialty in plain language?
Clinically, the directory lists MR. KENNETH J SMEDS (MA CCC/SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What location shows for MR. KENNETH J SMEDS (MA CCC/SLP)?
We surface Jensen Beach, Florida for MR. KENNETH J SMEDS (MA CCC/SLP) based on available NPPES addresses.
Is MR. KENNETH J SMEDS (MA CCC/SLP) a real provider?
This page reflects official NPPES data for NPI 1639362106. Always confirm identity and privileges with the practice and licensing boards.

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