Individual provider Active NPI

Janelle Brown McCandless, MSP,CCC,SLP

  • Speech-Language Pathologist
  • Port Saint Lucie, FL
National Provider Identifier
1063630523
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA2835 Issued in FL
Practice address
962 SW Hamberland Ave
Port Saint Lucie, FL 34953-5630
Phone
(772) 336-3683
Fax
(772) 336-8861
NPI assigned
Apr 23, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 SA2835 FL Primary

Addresses

Primary practice location

962 SW Hamberland Ave
Port Saint Lucie, FL 34953-5630

Mailing address

962 SW Hamberland Ave
Port Saint Lucie, FL 34953-5630
Phone (772) 336-3683

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
SA2835FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063630523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 SW HAMBERLAND AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535630",
            "telephone_number": "772-336-3683",
            "fax_number": "772-336-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 SW HAMBERLAND AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535630",
            "telephone_number": "772-336-3683",
            "fax_number": "772-336-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANDLESS",
        "first_name": "JANELLE",
        "middle_name": "BROWN",
        "name_prefix": "Mrs.",
        "credential": "MSP,CCC,SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.