Active NPI
Jennifer Elaine Weston, M.A., CCC-SLP
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1487831715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 10001
- Practice address
- 3014 Wild Tamarind Blvd
Orlando, FL 32828-9367 - Phone
- (727) 743-3022
- Fax
- (321) 281-4942
- NPI assigned
- Jan 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | SA 10001 | FL | Primary |
| Developmental Therapist | 222Q00000X | SA 10001 | FL |
Addresses
Primary practice location
3014 Wild Tamarind Blvd
Orlando, FL 32828-9367
Mailing address
3014 Wild Tamarind Blvd
Orlando, FL 32828-9367
Phone (727) 743-3022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000246300 | Medicaid | FL |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 10001 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307750400000",
"number": "1487831715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3014 WILD TAMARIND BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328289367",
"telephone_number": "727-743-3022",
"fax_number": "321-281-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3014 WILD TAMARIND BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328289367",
"telephone_number": "727-743-3022",
"fax_number": "321-281-4942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTON",
"first_name": "JENNIFER",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2011-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 10001",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "SA 10001",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000246300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Charlene Ann Westman, M.A., CCC/SLP
- Westminster Senior Care Pharmacy, LLC (Longevity Scripts)
- Heidi Marie Westmoreland
- Tamarah Jeanette Westmoreland, MD PHD
- Carl L. Weston, DDS
- Westside Medical Clinic PA
- Westwood Alliance Chapel, Inc. (Westwood Church)
- Dylon James Wetzel
- Edward Alan Wetzel
- Addison Justine Wexler
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.