Speech Pathology Associates, P.a.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA3317 Issued in FL

Legal business name

SPEECH PATHOLOGY ASSOCIATES, P.A.

Practice address

1463 Nectarine St
Fernandina Beach, FL 32034-3027

Phone

(904) 635-3179

Fax

(904) 246-7259

NPI assigned

Jun 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Roberts, CCC-SLPNPI 1518188671

Title

President/Speech Pathologist

Phone

(904) 635-3179

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Roberts, CCC-SLP

  • Speech-Language Pathologist
  • Jacksonville Beach, FL
  • NPI 1518188671
  NPD (past) Authorized official
• Stephanie Desilet, MS, CCC-SLP

  • Speech-Language Pathologist
  • Fernandina Beach, FL
  • NPI 1861861460
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295776763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 LINKSIDE DR",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322337308",
            "telephone_number": "904-635-3179",
            "fax_number": "904-246-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 NECTARINE ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343027",
            "telephone_number": "904-635-3179",
            "fax_number": "904-246-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "904-635-3179",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA3317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "S1829",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth A Son, MD
• Janai Sookbir, M.S. CCC-SLP
• Michael Patrick Soos, D.O.
• Nicole Marie Soos, DO
• Theresa A Sparks, PH.D.
• Leomi Marie Spence, OTR/L
• Sinead Spratto, CCC-SLP
• Russell B Stapleton, MD
• Leanna Brooke Stebbins, APRN
• Joanna C Steele, MD

• Speech-Language Pathologist in Fernandina Beach, FL
• Providers in Fernandina Beach, 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 Aug 22, 2020; 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.