Jessica Emmons Garzarek, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4289 Issued in AL

Practice address

109 Lane Park Dr
Maylene, AL 35114-6085

Phone

(205) 547-1652

NPI assigned

Jun 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Bloom Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Maylene, AL
  • NPI 1831933761
  NPD Authorized official

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1669967394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LANE PARK DR",
            "city": "MAYLENE",
            "state": "AL",
            "postal_code": "351146085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LANE PARK DR",
            "city": "MAYLENE",
            "state": "AL",
            "postal_code": "351146085",
            "telephone_number": "205-547-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZAREK",
        "first_name": "JESSICA",
        "middle_name": "EMMONS",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "4289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Pediatric Therapy, LLC
• Ashley Dixon
• Fertile Ground, LLC
• Five Star Diagnostics LLC
• Ellan Harris, LAT, ATC
• Patricia Pollard Howard, D.C
• Anne Abernathy Maddox, OT
• Terri Yevette Marsden, CRNA
• Ralston Collective Holdings, LLC

• All providers in Maylene, AL
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.