Organization Active NPI

Small Talk Inc

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1447249784
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SMALL TALK INC
Practice address
8777 San Jose Blvd Ste 701
Jacksonville, FL 32217-4292
Phone
(904) 733-8255
Fax
(904) 733-5034
NPI assigned
Oct 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Mrs. Julie F Watts, MS CCC-SLPNPI 1013998988
Title
Director
Phone
(904) 993-2143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Early Intervention Provider Agency 252Y00000X N/A FL

Addresses

Primary practice location

8777 San Jose Blvd Ste 701
Jacksonville, FL 32217-4292

Mailing address

8777 San Jose Blvd Ste 701
Jacksonville, FL 32217-4292
Phone (904) 733-8255

Other identifiers 2

IdentifierTypeStateIssuer
901087100MedicaidFL
891087101MedicaidFL

Other names 1

  • Small Talk Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130124000316 FL Part B Supplier - Clinic/Group Practice 7416101506 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Jacksonville, FL; Orange Park, FL; Palatka, FL; St Augustine, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Small Talk Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9471 Baymeadows Rd
Ste 304
Jacksonville, FL 32256
Phone (904) 733-5034

423 Saint Johns Ave
Unit 2
Palatka, FL 32177

3314 Crill Ave
Palatka, FL 32177
Phone (386) 328-4242

215 Saint George St
St Augustine, FL 32084

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1447249784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 SAN JOSE BLVD STE 701",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174292",
            "telephone_number": "904-733-8255",
            "fax_number": "904-733-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 SAN JOSE BLVD STE 701",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174292",
            "telephone_number": "904-733-8255",
            "fax_number": "904-733-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TALK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-993-2143",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "N/A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "901087100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891087101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Small Talk",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Small Talk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.