Jean Denis Saintvil, SPEECH THERAPIST-CF

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ8338 Issued in FL

Practice address

587 SE Ermine Ave
Lake City, FL 32025-6126

Phone

(386) 752-7800

NPI assigned

Nov 18, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Shalimar, FL
  • NPI 1407382278
  NPD (past)

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

{
    "created_epoch": "1510963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1063926632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 SW 19TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075688",
            "telephone_number": "407-757-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 SE ERMINE AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256126",
            "telephone_number": "386-752-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINTVIL",
        "first_name": "JEAN DENIS",
        "name_prefix": "Mr.",
        "credential": "SPEECH THERAPIST-CF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-18",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010868",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Russo
• Jung Ho Ryu, PHD
• Pedro Alberto Sabillon, LPN
• Sacred Mind Psychiatry LLC
• Sacred Wings Counseling, LLC
• Salem Homes of Florida, Inc.
• Salem Villages MRDD, Inc.
• Rigen Pamin Saltivan, OD
• James Alvin Salyers, RN
• Edward J. Sambey, M.D.

• Speech-Language Pathologist in Lake City, FL
• Providers in Lake City, 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 13, 2019; 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.