Active NPI
Jhenna Rae Cross, M.S., CCC-SLP
- Speech-Language Pathologist
- Lithia, FL
National Provider Identifier
1104402387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 6131 Skylarkcrest Dr
Lithia, FL 33547-1785 - Phone
- (810) 247-0818
- NPI assigned
- Mar 19, 2021
- 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 | Primary |
Addresses
Primary practice location
6131 Skylarkcrest Dr
Lithia, FL 33547-1785
Mailing address
6131 Skylarkcrest Dr
Lithia, FL 33547-1785
Phone (810) 247-0818
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618617600000",
"number": "1104402387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6131 SKYLARKCREST DR",
"city": "LITHIA",
"state": "FL",
"postal_code": "335471785",
"telephone_number": "810-247-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6131 SKYLARKCREST DR",
"city": "LITHIA",
"state": "FL",
"postal_code": "335471785",
"telephone_number": "810-247-0818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "JHENNA RAE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-19",
"last_updated": "2021-04-17",
"certification_date": "2021-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lithia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.