Organization Active NPI

Jamie Flood M.S. CCC-SLP P.a

  • Speech-Language Pathologist
  • Lake Worth, FL
National Provider Identifier
1669872511
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8820 Issued in FL
Legal business name
JAMIE FLOOD M.S. CCC-SLP P.A
Practice address
6614 Jacques Way
Lake Worth, FL 33463-7486
Phone
(561) 523-5572
Fax
(561) 964-0092
NPI assigned
Aug 28, 2014
Last updated
Aug 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Mrs. Jamie Christine Flood, M.S. CCC-SLP
Title
Speech Language Pathologist
Phone
(561) 523-5572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA8820 FL Primary

Addresses

Primary practice location

6614 Jacques Way
Lake Worth, FL 33463-7486

Mailing address

6614 Jacques Way
Lake Worth, FL 33463-7486
Phone (561) 523-5572

Other identifiers 1

IdentifierTypeStateIssuer
891143600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1669872511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 JACQUES WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637486",
            "telephone_number": "561-523-5572",
            "fax_number": "561-964-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 JACQUES WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637486",
            "telephone_number": "561-523-5572",
            "fax_number": "561-964-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE FLOOD M.S. CCC-SLP P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "FLOOD",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "561-523-5572",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891143600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.