Jamie Futch, M.S. CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11511 Issued in FL

Practice address

401 Orange PL
Wauchula, FL 33873-3417

Phone

(863) 773-3231

NPI assigned

Apr 8, 2016

Last updated

Apr 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1609230325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181",
            "city": "ZOLFO SPRINGS",
            "state": "FL",
            "postal_code": "338900181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ORANGE PL",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733417",
            "telephone_number": "863-773-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTCH",
        "first_name": "JAMIE",
        "credential": "M.S. CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "11511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dora Alicia Gonzalez
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• Speech-Language Pathologist in Wauchula, FL
• Providers in Wauchula, 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 Apr 8, 2016; 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.