Active NPI
Pamela Lynne Jenkins
- Speech-Language Pathologist
- St Petersburg, FL
National Provider Identifier
1245376458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA2546
- Practice address
- 837 3Rd St N
St Petersburg, FL 33701-2413 - Phone
- (727) 543-3460
- Fax
- (727) 577-2604
- NPI assigned
- Jan 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA2546 | FL | Primary |
Addresses
Primary practice location
837 3Rd St N
St Petersburg, FL 33701-2413
Mailing address
837 3Rd St N
St Petersburg, FL 33701-2413
Phone (727) 543-3460
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1245376458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 3RD ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337012413",
"telephone_number": "727-543-3460",
"fax_number": "727-577-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 3RD ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337012413",
"telephone_number": "727-543-3460",
"fax_number": "727-577-2604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "PAMELA",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA2546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.