Individual provider Active NPI

Jocelyn Suzanne Richardson, M.A., C.C.C.,SLP

  • Speech-Language Pathologist
  • Dade City, FL
National Provider Identifier
1528130622
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 6269 Issued in FL
Practice address
38051 Pasco Ave
Dade City, FL 33525-4234
Phone
(727) 848-6747
Fax
(727) 847-3107
NPI assigned
Nov 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SA 6269 FL Primary

Addresses

Primary practice location

38051 Pasco Ave
Dade City, FL 33525-4234

Mailing address

PO Box 1502
6646 U.S. Hwy 19
New Port Richey, FL 34656-1502
Phone (727) 848-6747

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 Arts

State licenses

LicenseStateTypeSpecialty
SA 6269FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Raintree Therapy Services, LLC Speech-Language Pathologist Current Accepting new patients
Welch & McLoy Pediatric Clinic, Inc. Speech-Language Pathologist PastSince Jun 19, 2011 Accepting new patients

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, 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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528130622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1502",
            "address_2": "6646 U.S. HWY 19",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346561502",
            "telephone_number": "727-848-6747",
            "fax_number": "727-847-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38051 PASCO AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254234",
            "telephone_number": "727-848-6747",
            "fax_number": "727-847-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JOCELYN",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "M.A., C.C.C.,SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.