Organization Active NPI

Joann Denemark Inc.

  • Speech-Language Pathologist
  • Orange Park, FL
National Provider Identifier
1073849832
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 6704 Issued in FL
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.