Jason Brook Ketner, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA19932 Issued in FL

Practice address

36430 US Highway 19 N
Palm Harbor, FL 34684-1330

Phone

(727) 330-0420

NPI assigned

Jan 5, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 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 and National Provider Directory roles.

• Little Steps Florida LLC

  • Speech-Language Pathologist
  • Dunedin, FL
  • NPI 1669081634
  NPD (past)

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1457749046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 NEW CAMPFIRE RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629038342",
            "telephone_number": "618-303-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36430 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841330",
            "telephone_number": "727-330-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETNER",
        "first_name": "JASON",
        "middle_name": "BROOK",
        "credential": "CCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-05",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA19932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@littlestepsfl.com",
            "affiliation": "N",
            "address_1": "36430 US Highway 19 N",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346841330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelsey Pierce LCSW
• Jennifer Lyn Kendall, LMHC
• Christen Kerolos, PHARMACIST
• Bartley Harvard Kerr, D.C.
• Keshav Ramireddy P L
• Kevin M. Gallagher D.C. P.a.
• Vikesh Khanijow, M.D.
• Meenali Khare, DDS
• Sara Khwaja, MD
• Kevin David Kiley, DDS

• Speech-Language Pathologist in Palm Harbor, FL
• Providers in Palm Harbor, 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 May 17, 2022; 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.