Individual provider Active NPI

Annitza Gonzalez Badillo

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1043946338
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA20628 Issued in FL
Practice address
10000 Gate Pkwy N Apt 2126
Jacksonville, FL 32246-8214
Phone
(787) 383-6550
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA20628 FL Primary

Addresses

Primary practice location

10000 Gate Pkwy N Apt 2126
Jacksonville, FL 32246-8214

Mailing address

10000 Gate Pkwy N Apt 2126
Jacksonville, FL 32246-8214
Phone (787) 383-6550

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

State licenses

LicenseStateTypeSpecialty
SA20628FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1043946338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 GATE PKWY N APT 2126",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468214",
            "telephone_number": "787-383-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 GATE PKWY N APT 2126",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468214",
            "telephone_number": "787-383-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ BADILLO",
        "first_name": "ANNITZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.