Individual provider Active NPI

Catherine Anne Jimenez, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Satellite Beach, FL
National Provider Identifier
1124647102
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19453 Issued in FL
Practice address
1071 S Patrick Dr
Ste 101 #372351
Satellite Beach, FL 32937
Phone
(321) 615-5840
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-2023-0251 NM
Speech-Language Pathologist 235Z00000X 202467 AR
Speech-Language Pathologist 235Z00000X 17913 OR
Speech-Language Pathologist 235Z00000X 19453 FL Primary

Addresses

Primary practice location

1071 S Patrick Dr
Ste 101 #372351
Satellite Beach, FL 32937

Mailing address

1071 S Patrick Dr
Ste 101 #372351
Satellite Beach, FL 32937
Phone (321) 615-5840

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 Arts

State licenses

LicenseStateTypeSpecialty
17913ORMDMassage Therapist
202467ARMDSpeech-Language Pathologist
19453FLMDSpeech-Language Pathologist
SLP-2023-0251NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Innovations of Central Florida LLC Speech-Language Pathologist PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 1

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1124647102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 S PATRICK DR",
            "address_2": "STE 101 #372351",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "32937",
            "telephone_number": "321-615-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 S PATRICK DR",
            "address_2": "STE 101 #372351",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "32937",
            "telephone_number": "321-615-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP-2023-0251",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "202467",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17913",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "19453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Satellite Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.