Active NPI
Jennifer Christine Cordeiro
- Speech-Language Pathologist
- Fort Myers, FL
National Provider Identifier
1164567210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA8191
- Practice address
- 6360 Techster Blvd
Suite 2
Fort Myers, FL 33966-4805 - Phone
- (239) 482-3154
- Fax
- (239) 482-3254
- NPI assigned
- Feb 20, 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 | SA8191 | FL | Primary |
Addresses
Primary practice location
6360 Techster Blvd
Suite 2
Fort Myers, FL 33966-4805
Mailing address
2822 Via Piazza Loop
Fort Myers, FL 33905
Phone (239) 936-1885
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA8191 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416096000000",
"number": "1164567210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2822 VIA PIAZZA LOOP",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33905",
"telephone_number": "239-936-1885",
"fax_number": "239-936-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 TECHSTER BLVD",
"address_2": "SUITE 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664805",
"telephone_number": "239-482-3154",
"fax_number": "239-482-3254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDEIRO",
"first_name": "JENNIFER",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2014-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA8191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.