Active NPI
Jamie Katrin McNeair - Reese
- Speech-Language Pathologist
- Jacksonville, FL
National Provider Identifier
1285808352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7991
- Practice address
- 910 N Jefferson St
Jacksonville, FL 32209-6810 - Phone
- (904) 476-7600
- NPI assigned
- Apr 18, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Speech-Language Pathologist | 235Z00000X | 7991 | NC | Primary |
Addresses
Primary practice location
910 N Jefferson St
Jacksonville, FL 32209-6810
Mailing address
910 N Jefferson St
Jacksonville, FL 32209-6810
Phone (904) 476-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210917001040 | FL | Practitioner - Qualified Speech Language Pathologist | 0749687754 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
4870 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 506-4324
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7991 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Single Specialty | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Single Specialty | Current | Accepting new patients |
| Lingui-Theraplay | Single Specialty | Current | Accepting new patients |
Locations
4870 Belfort Rd
Jacksonville, FL 32256
Phone (904) 322-0774
Organizations & group practices 25
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.
-
- Physical Therapist
- Coral Gables, FL
- NPI 1871972653
FL, Single Specialty
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Single Specialty
-
- Physical Therapist
- Merrillville, IN
- NPI 1053833657
-
- Physical Therapist
- Tallulah, LA
- NPI 1154852382
-
- Physical Therapist
- Abington, PA
- NPI 1235653403
-
- Physical Therapist
- Mountain Home, AR
- NPI 1235780115
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1245755487
-
- Physical Therapist
- Boulder, CO
- NPI 1376038646
-
- Physical Therapist
- Clinton, TN
- NPI 1376073262
-
- Physical Therapist
- Dallas, OR
- NPI 1376272732
-
- Physical Therapist
- Brownstown TWP, MI
- NPI 1457868937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1285808352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 N JEFFERSON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096810",
"telephone_number": "904-476-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 N JEFFERSON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096810",
"telephone_number": "904-476-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEAIR - REESE",
"first_name": "JAMIE",
"middle_name": "KATRIN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-18",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7991",
"primary": true
}
],
"identifiers": [],
"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 Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.