Jaya Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ11624 Issued in FL

Practice address

1239 Mount Vernon St
Orlando, FL 32803-5417

Phone

(407) 810-2773

Fax

(407) 867-6203

NPI assigned

Sep 14, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1265219901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 MOUNT VERNON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035417",
            "telephone_number": "407-810-2773",
            "fax_number": "407-867-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 MOUNT VERNON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035417",
            "telephone_number": "407-810-2773",
            "fax_number": "407-867-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imani Smith
• Irene Smith, C.N.A.
• Jade M Smith, LPN
• Jalaea Amanda Smith
• Jarvis Cornielus Smith, B.A., CAP, VBHC
• Jeffery Kenneth Smith, DPT
• Jeffrey Allen Smith, ARNP
• Jeffrey Richard Smith, MD
• Jennifer Kathryn Smith
• Jessica Elaine Smith, LMT

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.