Active NPI
Jane M Tuttle, SLP
- Speech-Language Pathologist
- Fort Myers, FL
National Provider Identifier
1649476201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA9325
- Practice address
- 9350 Camelot Dr
Fort Myers, FL 33919-7980 - Phone
- (239) 282-0166
- NPI assigned
- Jun 21, 2007
- 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 Pathologist | 235Z00000X | SA9325 | FL | Primary |
Addresses
Primary practice location
9350 Camelot Dr
Fort Myers, FL 33919-7980
Mailing address
15960 Bayside Pointe W Apt 408
Fort Myers, FL 33908-6938
Phone (239) 470-2876
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 |
|---|---|---|---|
| SA9325 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1649476201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15960 BAYSIDE POINTE W APT 408",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339086938",
"telephone_number": "239-470-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9350 CAMELOT DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339197980",
"telephone_number": "239-282-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "JANE",
"middle_name": "M",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA9325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.