Active NPI
Marjani Desue Jones, M.S. CCC-SLP
- Speech-Language Pathologist
- Bradenton, FL
National Provider Identifier
1124167085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA6374
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 888490196 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA6374 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lampert'S Home Therapy, Inc. | Current | 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.
-
- Occupational Therapist
- Largo, FL
- NPI 1265441810
-
- Rehabilitation Clinic/Center
- Shalimar, FL
- NPI 1407382278
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.