Individual provider Active NPI

Jessica Simoes Attard

  • Speech-Language Pathologist
  • Brooksville, FL
National Provider Identifier
1093248122
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA13619 Issued in FL
Practice address
990 Ponce de Leon Blvd
Apt 526
Brooksville, FL 34601-1238
Phone
(786) 246-9055
NPI assigned
Apr 5, 2017
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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 SA13619 FL Primary

Addresses

Primary practice location

990 Ponce de Leon Blvd
Apt 526
Brooksville, FL 34601-1238

Mailing address

2157 Bishop Rd
Spring Hill, FL 34608-5836
Phone (786) 246-9055

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
SA13619FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1093248122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 BISHOP RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346085836",
            "telephone_number": "786-246-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PONCE DE LEON BLVD",
            "address_2": "APT 526",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346011238",
            "telephone_number": "786-246-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTARD",
        "first_name": "JESSICA",
        "middle_name": "SIMOES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.