Speech Pathways of St. Johns

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEECH PATHWAYS OF ST. JOHNS

Practice address

12627 San Jose Blvd Ste 803
Jacksonville, FL 32223-8644

Phone

(908) 770-5990

NPI assigned

Dec 20, 2021

Last updated

Dec 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karissa Anne Gussmann, CCC-SLPNPI 1881931343

Title

Manager/Owner

Phone

(908) 770-5990

Specialties & licenses 3

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karissa A. Gussmann, SLP

  • Speech-Language Pathologist
  • Saint Johns, FL
  • NPI 1881931343
  NPD Authorized official

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1417617309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 FORT WILLIAM DR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322595925",
            "telephone_number": "908-770-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD STE 803",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238644",
            "telephone_number": "908-770-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHWAYS OF ST. JOHNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "GUSSMANN",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "908-770-5990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "karissagussmann@speechpathwayssj.com",
            "affiliation": "N",
            "endpointDescription": "Email for buisness",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12627 San Jose Blvd Ste 803",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322238644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Speech & Hearing Center, Inc
• Speech & Hearing Center, Inc.
• Speech & Hearing Center, Inc.
• Speech & Such Therapy Services LLC
• Speech Language Pros LLC (Speech Language Pros)
• Speech Without Borders
• Speech World, LLC
• Gabriel Speed, MA, LMHC
• Janet Speer, ARNP
• Leigh Speicher, MD

• 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 Dec 20, 2021; 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.