Individual provider Active NPI

Jolie M Cummings, M.S. CCC

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1134489560
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SI1959 Issued in FL
Practice address
2625 S.W. 3 Avenue
Miami, FL 33129
Phone
(305) 854-3282
Fax
(305) 854-3268
NPI assigned
May 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 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 SI1959 FL Primary

Addresses

Primary practice location

2625 S.W. 3 Avenue
Miami, FL 33129

Mailing address

150 Sans Souci Drive
Coral Gables, FL 33133-6727
Phone (305) 666-1347

Other names 1

  • Jolie Minna Eisenberg Former name

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

State licenses

LicenseStateTypeSpecialty
SI1959FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1134489560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SANS SOUCI DRIVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331336727",
            "telephone_number": "305-666-1347",
            "fax_number": "305-666-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 S.W. 3 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33129",
            "telephone_number": "305-854-3282",
            "fax_number": "305-854-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "JOLIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SI1959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLIE",
            "last_name": "EISENBERG",
            "middle_name": "MINNA",
            "credential": "MS CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.