Individual provider Active NPI

Laura Ann Gemma, MS, CCC-SLP

  • Speech-Language Pathologist
  • St Petersburg, FL
National Provider Identifier
1487254702
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA4929 Issued in FL
Practice address
3530 1St Ave N
St Petersburg, FL 33713-8435
Phone
(727) 642-0833
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA4929 FL Primary

Addresses

Primary practice location

3530 1St Ave N
St Petersburg, FL 33713-8435

Mailing address

2957 W State Road 434 Ste 100
Longwood, FL 32779-4453
Phone (407) 271-4911

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA4929FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela Rowe, Ma, CCC-SLP, LLC Speech-Language Pathologist CurrentSince Jul 28, 2024 Accepting new patients
Encompass Behavior and Wellness Services,LLC PastSince Nov 1, 2020 Accepting new patients

Locations

2957 W State Road 434
Ste 100
Longwood, FL 32779
Phone (407) 928-2538

Organizations & group practices 2

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1487254702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2957 W STATE ROAD 434 STE 100",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794453",
            "telephone_number": "407-271-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138435",
            "telephone_number": "727-642-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMMA",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.