Organization Active NPI

Jubilee Speech Therapy LLC

  • Speech-Language Pathologist
  • Daphne, AL
National Provider Identifier
1114640232
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
JUBILEE SPEECH THERAPY LLC
Practice address
12482 Cressida Loop
Daphne, AL 36526-9294
Phone
(985) 707-5599
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Valerie Ann Lanier, M.S. CCC-SLPNPI 1164154647
Title
Speech Language Pathologist/Owner
Phone
(985) 707-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

12482 Cressida Loop
Daphne, AL 36526-9294

Mailing address

12482 Cressida Loop
Daphne, AL 36526-9294
Phone (985) 707-5599

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address valerie@jubileespeechtherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230810002543 AL Part B Supplier - Clinic/Group Practice 8022470830 Receives reassigned benefits from 1 practitioner
Practice locations: Daphne, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1114640232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12482 CRESSIDA LOOP",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269294",
            "telephone_number": "985-707-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12482 CRESSIDA LOOP",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269294",
            "telephone_number": "985-707-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "985-707-5599",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "valerie@jubileespeechtherapy.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "valerie@jubileespeechtherapy.com",
            "address_1": "12482 Cressida Loop",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365269294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.