Active NPI
Joann Denemark Inc.
- Speech-Language Pathologist
- Orange Park, FL
National Provider Identifier
1073849832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 6704
- Legal business name
- JOANN DENEMARK INC.
- Practice address
- 114 Vanderford Rd N
Orange Park, FL 32073-5968 - Phone
- (904) 233-9672
- NPI assigned
- Oct 28, 2009
- Last updated
- Oct 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joann C Denemark, M.S., CCC-SLP
- Title
- Owner
- Phone
- (904) 233-9672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 6704 | FL | Primary |
Addresses
Primary practice location
114 Vanderford Rd N
Orange Park, FL 32073-5968
Mailing address
114 Vanderford Rd N
Orange Park, FL 32073-5968
Phone (904) 233-9672
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256688000000",
"number": "1073849832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 VANDERFORD RD N",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735968",
"telephone_number": "904-233-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 VANDERFORD RD N",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735968",
"telephone_number": "904-233-9672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOANN DENEMARK INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-28",
"last_updated": "2009-10-28",
"status": "A",
"authorized_official_last_name": "DENEMARK",
"authorized_official_first_name": "JOANN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-233-9672",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 6704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.