Active NPI
Patricia a Harrison Inc.
- Speech-Language Pathologist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA1362
- Legal business name
- PATRICIA A HARRISON INC.
- Practice address
- 3733 University Blvd W
Suite 208
Jacksonville, FL 32217-2109 - Phone
- (904) 386-4990
- Fax
- (904) 260-0435
- NPI assigned
- Oct 8, 2008
- Last updated
- Oct 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia Ann Harrison, MS, CCC
- Title
- President
- Phone
- (904) 386-4990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA1362 | FL | Primary |
Addresses
Primary practice location
3733 University Blvd W
Suite 208
Jacksonville, FL 32217-2109
Mailing address
2594 Spreading Oaks LN
Jacksonville, FL 32223-6501
Phone (904) 386-4990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88885911600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
6015 Chester Cir
Ste 205
Jacksonville, FL 32217
Phone (904) 386-4990
Practitioners & affiliated clinicians
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.
-
- Speech-Language Pathologist
- Jacksonville, FL
- NPI 1356369334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223424000000",
"number": "1437300456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2594 SPREADING OAKS LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322236501",
"telephone_number": "904-386-4990",
"fax_number": "904-260-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3733 UNIVERSITY BLVD W",
"address_2": "SUITE 208",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322172109",
"telephone_number": "904-386-4990",
"fax_number": "904-260-0435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA A HARRISON INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-08",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-386-4990",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, CCC"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA1362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "88885911600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.