Individual provider Active NPI

Cynthia H. Jenkins, MACCC,SLP

  • Speech-Language Pathologist
  • Longwood, FL
National Provider Identifier
1194849869
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA00002180 Issued in FL
Practice address
1704 N Ronald Reagan Blvd
Longwood, FL 32750-3409
Phone
(407) 260-0020
Fax
(407) 260-9555
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 SA00002180 FL Primary

Addresses

Primary practice location

1704 N Ronald Reagan Blvd
Longwood, FL 32750-3409

Mailing address

PO Box 951137
Lake Mary, FL 32795-1137
Phone (407) 260-0020

Other identifiers 2

IdentifierTypeStateIssuer
886089100MedicaidFL
881991200MedicaidFL

Other names 1

  • Cynthia Hardy Jenkins Professional 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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA00002180FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia H. Jenkins Speech-Language Pathologist CurrentSince Aug 17, 2025 Accepting new patients

Locations

1704 N Ronald Reagan Blvd
Longwood, FL 32750
Phone (407) 260-0020

Networks

  • Freedom Health HMO Network

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1194849869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951137",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327951137",
            "telephone_number": "407-260-0020",
            "fax_number": "407-260-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 N RONALD REAGAN BLVD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327503409",
            "telephone_number": "407-260-0020",
            "fax_number": "407-260-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CYNTHIA",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "MACCC,SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA00002180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886089100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "881991200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "JENKINS",
            "middle_name": "HARDY",
            "credential": "MA-CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.