Active NPI
Jeannie-Marie Pearson, MA, CCC-SLP
- Speech-Language Pathologist
- Deltona, FL
National Provider Identifier
1013266378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12279
- Practice address
- 504 Battersea Ave
Deltona, FL 32738-8750 - Phone
- (386) 320-1470
- NPI assigned
- Sep 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA12279 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | SZ5903 | FL |
Addresses
Primary practice location
504 Battersea Ave
Deltona, FL 32738-8750
Mailing address
504 Battersea Ave
Deltona, FL 32738-8750
Phone (386) 320-1470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA12279 | FL | MD | Speech-Language Pathologist |
| SZ5903 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393718400000",
"number": "1013266378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 BATTERSEA AVE",
"city": "DELTONA",
"state": "FL",
"postal_code": "327388750",
"telephone_number": "386-320-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 BATTERSEA AVE",
"city": "DELTONA",
"state": "FL",
"postal_code": "327388750",
"telephone_number": "386-320-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "JEANNIE-MARIE",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-02",
"last_updated": "2014-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12279",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "SZ5903",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.