Active NPI
Jessica L Greenwald, SLP
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1427237882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 6441
- Practice address
- 4284 SW 161St PL
Miami, FL 33185-3826 - Phone
- (786) 208-2814
- Fax
- (305) 228-6251
- NPI assigned
- Nov 1, 2007
- 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 6441 | FL | Primary |
Addresses
Primary practice location
4284 SW 161St PL
Miami, FL 33185-3826
Mailing address
8100 SW 148TH Dr
Palmetto Bay, FL 33158-2060
Phone (305) 803-8358
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 6441 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & V Thera Pro Associates Corp | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1427237882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 SW 148TH DR",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331582060",
"telephone_number": "305-803-8358",
"fax_number": "305-228-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4284 SW 161ST PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331853826",
"telephone_number": "786-208-2814",
"fax_number": "305-228-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWALD",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 6441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.