Active NPI
Galyna I Dmytrenko, SLPA
- Speech-Language Assistant
- Jacksonville, FL
National Provider Identifier
1609727064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI8562
- Practice address
- 4142 Markin Dr W
Jacksonville, FL 32277-1526 - Phone
- (904) 655-0864
- NPI assigned
- Feb 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI8562 | FL | Primary |
Addresses
Primary practice location
4142 Markin Dr W
Jacksonville, FL 32277-1526
Mailing address
4142 Markin Dr W
Jacksonville, FL 32277-1526
Phone (904) 655-0864
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI8562 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1609727064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4142 MARKIN DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322771526",
"telephone_number": "904-655-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4142 MARKIN DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322771526",
"telephone_number": "904-655-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DMYTRENKO",
"first_name": "GALYNA",
"middle_name": "I",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-03",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI8562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.