Individual provider Active NPI

Marlyne Jean-Pierre, M.S.

  • Speech-Language Pathologist
  • Mount Dora, FL
National Provider Identifier
1487888640
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12738 Issued in FL
Practice address
1502 N Donnelly St
Ste 109
Mount Dora, FL 32757-2846
Phone
(352) 729-2277
NPI assigned
May 3, 2009
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15945 CA
Speech-Language Pathologist 235Z00000X 12738 FL Primary

Addresses

Primary practice location

1502 N Donnelly St
Ste 109
Mount Dora, FL 32757-2846

Mailing address

1502 N Donnelly St
Ste 109
Mount Dora, FL 32757-2846
Phone (352) 729-2277

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12738FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Speech, Physical, and Occupational Therapies Speech-Language Pathologist Current Accepting new patients

Locations

1502 N Donnelly St
Ste 109
Mount Dora, FL 32757
Phone (352) 383-2530

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1241308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1487888640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 N DONNELLY ST",
            "address_2": "STE 109",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572846",
            "telephone_number": "352-729-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N DONNELLY ST",
            "address_2": "STE 109",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572846",
            "telephone_number": "352-729-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-PIERRE",
        "first_name": "MARLYNE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-03",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15945",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "12738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.