Jennifer Flowers, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11376 Issued in FL

Practice address

522 Winthrop St
Fort Walton Beach, FL 32547-2679

Phone

(850) 866-2286

Fax

(850) 244-2105

NPI assigned

Oct 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Small Talk Pediatric SLP, LLC

  • Speech-Language Pathologist
  • Fort Walton Beach, FL
  • NPI 1336544618
  NPD (past) Authorized official

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1154631232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 WINTHROP ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472679",
            "telephone_number": "850-866-2286",
            "fax_number": "850-244-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 WINTHROP ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472679",
            "telephone_number": "850-866-2286",
            "fax_number": "850-244-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWERS",
        "first_name": "JENNIFER",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009909500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Medical Laboratory Group, Inc
• Florida Mentor II LLC (Fort Walton Beach Developmental Center)
• Florida Trauma Services, LLC
• Flourish Behavior and Learning, LLC
• Janet Fuller Flowers, D.ED., CCC-SLP
• Daniele Foht
• Stefanie Renee Fontaine, BS
• Barbara S. Fontana
• Danielle Fordham
• Fort Walton Beach Anesthesia LLC

• Speech-Language Pathologist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.