Bouncing Beans Pediatric Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BOUNCING BEANS PEDIATRIC THERAPY, LLC

Practice address

7867 Lisa Dr E
Jacksonville, FL 32217-4171

Phone

(508) 789-6457

NPI assigned

Nov 17, 2023

Organization subpart

No

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

Authorized official

Name

Hannah Cameron, MS, CCC-SLPNPI 1962008342

Title

Owner/Speech Language Pathologist

Phone

(508) 789-6457

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah Elisabeth Cameron, MS, CF-SLP

  • Contractor
  • Jacksonville, FL
  • NPI 1962008342
  NPD Authorized official

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1306611512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7867 LISA DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7867 LISA DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174171",
            "telephone_number": "508-789-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNCING BEANS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "508-789-6457",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Boudreaux, ARNP
• Jacquelyn Bouffard
• John George Fletcher Boughey, MBCHB
• Laquitta S Bouknight-Rivers
• Joseph Robert Boulter, DMD
• Ernest Bouras, MD
• Michael Bourassa, D.P.T.
• Amanda J. Bourgeois, OD
• Dorothy Eleanor Bourgeois, CCC-SLP
• Jennifer Bourgeois, RPH

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, 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 Nov 17, 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.