Individual provider Active NPI

Robin Jex, SLP

  • Speech-Language Pathologist
  • Oviedo, FL
National Provider Identifier
1487956496
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16452 Issued in FL
Practice address
1000 W Broadway St Ste 214
Oviedo, FL 32765-9262
Phone
(407) 359-5693
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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 16452 FL Primary
Speech-Language Pathologist 235Z00000X SP 8676 OH

Addresses

Primary practice location

1000 W Broadway St Ste 214
Oviedo, FL 32765-9262

Mailing address

1000 W Broadway St Ste 214
Oviedo, FL 32765-9262
Phone (407) 359-5693

Other practice location 1

850 W Poe Rd
Bowling Green, OH 43402-1219
Phone (419) 352-2228

Other identifiers 1

IdentifierTypeStateIssuer
1609899061OtherOHCORP NPI

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

State licenses

LicenseStateTypeSpecialty
16452FLMDSpeech-Language Pathologist
SP 8676OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1487956496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST STE 214",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659262",
            "telephone_number": "407-359-5693",
            "fax_number": "407-792-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST STE 214",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659262",
            "telephone_number": "407-359-5693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 W Poe Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434021219",
            "country_code": "US",
            "telephone_number": "419-352-2228",
            "fax_number": "419-352-2343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEX",
        "first_name": "ROBIN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "16452",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 8676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP NPI",
            "identifier": "1609899061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.