Organization Active NPI

Aimee F Jennings

Doing business as Marathon Speech

  • Speech-Language Pathologist
  • Starke, FL
National Provider Identifier
1649533977
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
AIMEE F JENNINGS
Doing business as
Marathon Speech
Practice address
133 W Call St
Starke, FL 32091-3210
Phone
(352) 235-1452
Fax
(904) 964-5360
NPI assigned
Jun 21, 2012
Last updated
Jun 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Aimee Jennings
Title
Owner
Phone
(352) 235-1452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

133 W Call St
Starke, FL 32091-3210

Mailing address

2162 NE 154TH St
Starke, FL 32091-6418
Phone (352) 235-1452

Other names 1

  • Marathon Speech Doing business as

National Provider Directory

National Provider Directory

Locations

133 W Call St
Starke, FL 32091
Phone (352) 235-1452

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1649533977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 NE 154TH ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320916418",
            "telephone_number": "352-235-1452",
            "fax_number": "904-964-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W CALL ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913210",
            "telephone_number": "352-235-1452",
            "fax_number": "904-964-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIMEE F JENNINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-235-1452"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marathon Speech",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Starke, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.