Tiffany Jacques, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ4042 Issued in FL

Practice address

5306 Rabbit Ridge TRL
Orlando, FL 32818-8782

Phone

(407) 616-8077

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

No

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1366583510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 RABBIT RIDGE TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328188782",
            "telephone_number": "407-616-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 RABBIT RIDGE TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328188782",
            "telephone_number": "407-616-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ4042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueson Jacotin
• Jordany Jacotin, MD
• Gardine Jacques, ARNP
• Islande X Jacques
• Jeanique Michelle Jacques, LPN
• Abetna Jacquet
• Jade'S Love Counseling Center LLC
• Sunil M. Jadonath, MD
• Jae S Kim MD PA
• Danielle Selig Jaeger, APRN

• 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 4, 2007; 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.