Jenna Garrick

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA16293 Issued in FL

Practice address

315 NE 10TH Ave
Crystal River, FL 34429-4456

Phone

(989) 305-7409

NPI assigned

Nov 7, 2018

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Superior Therapy Services Inc

  • Clinic/Center
  • Crystal River, FL
  • NPI 1134117542

  Single Specialty

  Medicare reassignment NPD
• Speech Sprouts Therapy LLC

  • Speech-Language Pathologist
  • Beverly Hills, FL
  • NPI 1457270704
  NPD (past) Authorized official

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1528536653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W RUNYON LOOP",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344654294",
            "telephone_number": "989-305-7409",
            "fax_number": "727-789-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NE 10TH AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294456",
            "telephone_number": "989-305-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRICK",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Hodges Fuller, PHARMACIST
• Aron Elizabeth Galloway, PTA
• Daniette S Gardner, PT, DPT
• Garnett Rehab Inc (Connie's Mastectomy Boutique)
• Twyla Suzan Garnett, PT 17230
• William Richard Gelinas, DO
• Geoffrey Roberts, D.O.,P.a.
• George H Kaplan OD PA
• Robert Carl Goethe, MD
• Golden Age Physician Specialists LLC

• Speech-Language Pathologist in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.