Individual provider Active NPI

Jeri Parker, MS, CCC-SLP

  • Speech-Language Pathologist
  • Parkland, FL
National Provider Identifier
1669858080
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA13862 Issued in FL
Practice address
6093 NW 62ND Ter FL 33067
Parkland, FL 33067-1538
Phone
(561) 212-5870
NPI assigned
Aug 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA13862 FL Primary

Addresses

Primary practice location

6093 NW 62ND Ter FL 33067
Parkland, FL 33067-1538

Mailing address

2716 Carnation CT
Delray Beach, FL 33445-8205

Other names 1

  • Jeri Maddox Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250527000806 VI Practitioner - Qualified Speech Language Pathologist 3577082239 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA13862FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeri Parker SLP LLC Current Accepting new patients
Play to Thrive Intervention Services, LLC CurrentSince Mar 17, 2025 Accepting new patients
Play Onwords Therapeutic Services Speech-Language Pathologist CurrentSince Mar 17, 2025 Accepting new patients

Locations

4001 Raphune Hill Rd
Ste 4
St Thomas, VI 00802

4001 Raphune Hill Rd
Unit 206
St Thomas, VI 00802
Phone (340) 727-7529

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1669858080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 CARNATION CT",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334458205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6093 NW 62ND TER FL 33067",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671538",
            "telephone_number": "561-212-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JERI",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERI",
            "last_name": "MADDOX",
            "credential": "MS, CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.