Individual provider Active NPI

Jody Lynn Hoke

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1629580360
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA15048 Issued in FL
Practice address
5823 Bowen Daniel Dr Unit 1103
Tampa, FL 33616-1471
Phone
(832) 654-7600
Fax
(832) 654-7600
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 25167 CA
Speech-Language Pathologist 235Z00000X 146.010153 IL
Speech-Language Pathologist 235Z00000X 6193 SC
Speech-Language Pathologist 235Z00000X SA15048 FL Primary

Addresses

Primary practice location

5823 Bowen Daniel Dr Unit 1103
Tampa, FL 33616-1471

Mailing address

634 Royall Ave
Mt Pleasant, SC 29464-5083
Phone (832) 654-7600

Other practice location 1

634 Royall Ave
MT Pleasant, SC 29464-5083
Phone (832) 654-7600

Other practice location 2

306 Warwick Rd
Tower Lakes, IL 60010-1254
Phone (832) 654-7600

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

LicenseStateTypeSpecialty
SA15048FLMDSpeech-Language Pathologist
146.010153ILMDSpeech-Language Pathologist
6193SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629580360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 ROYALL AVE",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645083",
            "telephone_number": "832-654-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 BOWEN DANIEL DR UNIT 1103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336161471",
            "telephone_number": "832-654-7600",
            "fax_number": "832-654-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "634 Royall Ave",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294645083",
            "country_code": "US",
            "telephone_number": "832-654-7600",
            "fax_number": "832-654-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Warwick Rd",
            "address_purpose": "LOCATION",
            "city": "Tower Lakes",
            "state": "IL",
            "postal_code": "600101254",
            "country_code": "US",
            "telephone_number": "832-654-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOKE",
        "first_name": "JODY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "25167",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010153",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6193",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.