Individual provider Active NPI

Marjani Desue Jones, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Bradenton, FL
National Provider Identifier
1124167085
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA6374 Issued in FL
Practice address
1609 Martin Luther King Ave E
Bradenton, FL 34208-2801
Phone
(941) 301-6858
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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 SA6374 FL Primary

Addresses

Primary practice location

1609 Martin Luther King Ave E
Bradenton, FL 34208-2801

Mailing address

1609 Martin Luther King Ave E
Bradenton, FL 34208-2801
Phone (941) 301-6858

Other identifiers 1

IdentifierTypeStateIssuer
888490196MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190215000694 FL Practitioner - Qualified Speech Language Pathologist 0648518746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lampert'S Home Therapy IncGroup PAC ID 5597659516, 15 clinicians

Practice addresses (Care Compare)

8254 118TH Ave N
Suite 100
Largo, FL 33773-5027
Phone (727) 541-5304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA6374FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lampert'S Home Therapy, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

8254 118th Ave
Ste 100
Largo, FL 33773
Phone (727) 451-5304

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1124167085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 MARTIN LUTHER KING AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342082801",
            "telephone_number": "941-301-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 MARTIN LUTHER KING AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342082801",
            "telephone_number": "941-301-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARJANI",
        "middle_name": "DESUE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888490196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.