Dominique Jones

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 15301 Issued in FL

Practice address

620 N Wymore Rd Ste 230
Maitland, FL 32751-4253

Phone

(407) 647-4740

NPI assigned

Apr 1, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beckman & Associates

  dba same

  • Speech-Language Pathologist
  • Maitland, FL
  • NPI 1447293071
  NPD (past)

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

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417489006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 ARONIMINIK DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327578723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N WYMORE RD STE 230",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514253",
            "telephone_number": "407-647-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 N Highland St",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327575776",
            "country_code": "US",
            "telephone_number": "352-385-3895",
            "fax_number": "352-385-3895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 15301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020557400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raneesha Dashay Joiner Clark
• Joint Effort Manual Physical Therapy
• Alfred Selmar Jolson, M.D.
• Callena Jones, MHC
• Chardell Jones, BA
• Tiffany Jones, DMIN, LMHC
• Ladwyana Jordan
• Gabriela Jorge
• David S.T. Josephitis, DO
• Mayuri J Joshi, M.D.

• Speech-Language Pathologist in Maitland, FL
• Providers in Maitland, 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 Mar 17, 2018; 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.