Jesseca Loraine Gornto, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ12189 Issued in FL

Practice address

1301 Saint Johns Ave
Palatka, FL 32177-4539

Phone

(386) 546-3379

NPI assigned

Sep 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jesseca Gornto Bedenbaugh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1043045719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 VINTAGE LN",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321778554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SAINT JOHNS AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774539",
            "telephone_number": "386-546-3379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3710 Saint Johns Ave",
            "address_purpose": "LOCATION",
            "city": "Palatka",
            "state": "FL",
            "postal_code": "321774026",
            "country_code": "US",
            "telephone_number": "386-546-3379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORNTO",
        "first_name": "JESSECA",
        "middle_name": "LORAINE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ12189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSECA",
            "last_name": "BEDENBAUGH",
            "middle_name": "GORNTO",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kate Marie Gilrain, PT, DPT
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• Ernest Gonzalez
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• Kristin H Green, L.C.S.W.
• Jasmine Greene
• Gregory Kipp O.D.
• Gregory L. Kane OD PA

• Speech-Language Pathologist in Palatka, FL
• Providers in Palatka, 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 Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.