Active NPI
Morgan Clarissa Oldfield
- Speech-Language Pathologist
- Amelia Island, FL
National Provider Identifier
1073928248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 14637
- Practice address
- 46 Osprey Village Dr
Amelia Island, FL 32034-4955 - Phone
- (334) 596-2679
- NPI assigned
- Jun 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 14637 | FL | Primary |
Addresses
Primary practice location
46 Osprey Village Dr
Amelia Island, FL 32034-4955
Mailing address
96157 Stoney Glen CT
Yulee, FL 32097-6571
Phone (334) 596-2679
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA 14637 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1073928248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96157 STONEY GLEN CT",
"city": "YULEE",
"state": "FL",
"postal_code": "320976571",
"telephone_number": "334-596-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 OSPREY VILLAGE DR",
"city": "AMELIA ISLAND",
"state": "FL",
"postal_code": "320344955",
"telephone_number": "334-596-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDFIELD",
"first_name": "MORGAN",
"middle_name": "CLARISSA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 14637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amelia Island, FL
- Emily Jones, ATC, LAT
- Live Long Well Care, LLC
- Daniel Mills Jr., OTR/L
- Monarch Academy for Neurodivergent Youth and Young Adults L.L.C.
- Maria A Murphy, MA, LMHC, LCPC
- Osprey Village at Amelia Island Plantation, LTD
- William Paul Peters, MD, PH.D
- Mary Catherine Plymel
- Ryan Reed, PT
- Chasity Rhoden, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.