Jacksonville Pediatric Speech, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

JACKSONVILLE PEDIATRIC SPEECH, LLC

Practice address

25 N Market St # 105
Jacksonville, FL 32202-2802

Phone

(904) 201-2394

NPI assigned

Oct 10, 2025

Last updated

Oct 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica O'Neal-Polote Beasley, CCC-SLPNPI 1508465345

Title

Owner

Phone

(904) 616-2549

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica O'Neal Beasley, CCC-SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1508465345
  NPD Authorized official

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1588539290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N MARKET ST # 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322022802",
            "telephone_number": "904-201-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N MARKET ST # 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322022802",
            "telephone_number": "904-201-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE PEDIATRIC SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "O'NEAL-POLOTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-616-2549",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, 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 Oct 10, 2025; 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.