Julington Creek Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

JULINGTON CREEK SPEECH THERAPY, LLC

Practice address

917 Dewberry Dr S
St Johns, FL 32259-4354

Phone

(904) 466-7853

NPI assigned

Dec 12, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erin FieldsNPI 1013624600

Title

Owner/Speech Language Pathologist

Phone

(904) 466-7853

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Fields, MS CCC/SLP

  • Speech-Language Pathologist
  • St Johns, FL
  • NPI 1013624600
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1003527805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 DEWBERRY DR S",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594354",
            "telephone_number": "904-466-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 DEWBERRY DR S",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594354",
            "telephone_number": "904-466-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULINGTON CREEK SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "904-466-7853"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merranda Jones
• Patrick Emerson Jones, MD
• Bradford Warner Joseph, MD
• Demetria C Juber, PT, DPT
• Julington Creek Pediatrics
• Karing Mobility Transportation, LLC
• Sina Kasraeian, MD
• Annaliyah Jennell Keith, BEHAVIOR TECHNICIAN
• Moira Ann Kelley, LMHC
• Monica Khan

• Speech-Language Pathologist in St Johns, FL
• Providers in St Johns, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.