Active NPI
Cassie Leigh Capri
- Speech-Language Pathologist
- Orange Park, FL
National Provider Identifier
1477030260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA18851
- Practice address
- 784 Blanding Blvd Ste 108
Orange Park, FL 32065-7724 - Phone
- (904) 264-2636
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 25423 | CA | |
| Speech-Language Pathologist | 235Z00000X | SA18851 | FL | Primary |
Addresses
Primary practice location
784 Blanding Blvd Ste 108
Orange Park, FL 32065-7724
Mailing address
1217 Paradise Pond Rd
Saint Augustine, FL 32092-0790
Phone (631) 790-7688
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 |
|---|---|---|---|
| 25423 | CA | MD | Speech-Language Pathologist |
| SA18851 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1477030260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 PARADISE POND RD",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320920790",
"telephone_number": "631-790-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 BLANDING BLVD STE 108",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320657724",
"telephone_number": "904-264-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPRI",
"first_name": "CASSIE",
"middle_name": "LEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "25423",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA18851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.