Active NPI
Jean Elizabeth Cain, SLP CCC
- Speech-Language Pathologist
- Leesburg, FL
National Provider Identifier
1215381819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 14405
- Practice address
- 600 W North Blvd
Ste D
Leesburg, FL 34748-5063 - Phone
- (352) 787-9300
- Fax
- (352) 787-4522
- NPI assigned
- Apr 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 14405 | FL | Primary |
| Speech-Language Pathologist | 235Z00000X | LL00003294 | WA |
Addresses
Primary practice location
600 W North Blvd
Ste D
Leesburg, FL 34748-5063
Mailing address
600 W North Blvd
Ste D
Leesburg, FL 34748-5063
Phone (352) 787-9300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 14405 | FL | MD | Speech-Language Pathologist |
| LL00003294 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1215381819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W NORTH BLVD",
"address_2": "STE D",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485063",
"telephone_number": "352-787-9300",
"fax_number": "352-787-4522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W NORTH BLVD",
"address_2": "STE D",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485063",
"telephone_number": "352-787-9300",
"fax_number": "352-787-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "JEAN",
"middle_name": "ELIZABETH",
"credential": "SLP CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 14405",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00003294",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.