Active NPI
Jennifer Pelz
- Speech-Language Pathologist
- Windermere, FL
National Provider Identifier
1346793015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 7487
- Practice address
- 13506 Summerport Village Pkwy
Suite 410
Windermere, FL 34786-7366 - Phone
- (407) 905-9300
- Fax
- (407) 905-9309
- NPI assigned
- Jul 29, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 7487 | FL | Primary |
Addresses
Primary practice location
13506 Summerport Village Pkwy
Suite 410
Windermere, FL 34786-7366
Mailing address
13506 Summerport Village Pkwy
Suite 410
Windermere, FL 34786-7366
Phone (407) 905-9300
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 7487 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1346793015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13506 SUMMERPORT VILLAGE PKWY",
"address_2": "SUITE 410",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347867366",
"telephone_number": "407-905-9300",
"fax_number": "407-905-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13506 SUMMERPORT VILLAGE PKWY",
"address_2": "SUITE 410",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347867366",
"telephone_number": "407-905-9300",
"fax_number": "407-905-9309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELZ",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-29",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 7487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.