Organization Active NPI

JB Harris Speech Therapy

  • Speech-Language Pathologist
  • Naples, FL
National Provider Identifier
1396036703
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
JB HARRIS SPEECH THERAPY
Practice address
3000 Immokalee Rd Ste 7
Naples, FL 34110-1444
Phone
(239) 253-4334
Fax
(239) 791-1114
NPI assigned
Apr 20, 2011
Last updated
Apr 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Jessica Harris
Title
Owner
Phone
(239) 253-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

3000 Immokalee Rd Ste 7
Naples, FL 34110-1444

Mailing address

3000 Immokalee Rd Ste 7
Naples, FL 34110-1444
Phone (239) 253-4334

Other identifiers 2

IdentifierTypeStateIssuer
002821600MedicaidFL
000404700MedicaidFL

National Provider Directory

National Provider Directory

Locations

3000 Immokalee Rd
Ste 7
Naples, FL 34110
Phone (239) 253-4334

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1396036703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 IMMOKALEE RD STE 7",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101444",
            "telephone_number": "239-253-4334",
            "fax_number": "239-791-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 IMMOKALEE RD STE 7",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101444",
            "telephone_number": "239-253-4334",
            "fax_number": "239-791-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB HARRIS SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-253-4334"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002821600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000404700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.