Active NPI
Jodi Marie Morgan
- Speech-Language Pathologist
- Jacksonville, FL
National Provider Identifier
1194865998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA6116
- Practice address
- 14444 Beach Blvd
Jacksonville, FL 32250-2079 - Phone
- (904) 810-9842
- NPI assigned
- Feb 8, 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 | SA6116 | FL | Primary |
Addresses
Primary practice location
14444 Beach Blvd
Jacksonville, FL 32250-2079
Mailing address
204 Hidden Dune CT
Ponte Vedra, FL 32082-4545
Phone (904) 810-9842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887716500 | Medicaid | FL |
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 |
|---|---|---|---|
| SA6116 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1194865998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 HIDDEN DUNE CT",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320824545",
"telephone_number": "904-810-9842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14444 BEACH BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322502079",
"telephone_number": "904-810-9842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "JODI",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA6116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887716500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.