Active NPI
Janene Katherine Digesare, M.A., CCC-SLP
- Speech-Language Pathologist
- Melbourne, FL
National Provider Identifier
1679641948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 7930
- Practice address
- 2080 W Eau Gallie Blvd Ste a
Melbourne, FL 32935-3185 - Phone
- (407) 694-3603
- Fax
- (321) 296-7130
- NPI assigned
- Dec 2, 2006
- Last updated
- Jan 18, 2023
- 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 | SA 7930 | FL | Primary |
Addresses
Primary practice location
2080 W Eau Gallie Blvd Ste a
Melbourne, FL 32935-3185
Mailing address
705 Amberly Jewel Way
Oviedo, FL 32765-4609
Phone (407) 473-2353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 888867100 | Medicaid | FL |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 7930 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Innovations of Central Florida LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Speech Innovations of Central Florida LLC | Past | Accepting new patients | |
| Speech Innovations of Central Florida LLC | Speech-Language Pathologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Oviedo, FL
- NPI 1508295155
-
- Early Intervention Provider Agency
- Oviedo, FL
- NPI 1568011872
-
- Speech-Language Pathologist
- Melbourne, FL
- NPI 1982268173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1679641948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 AMBERLY JEWEL WAY",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327654609",
"telephone_number": "407-473-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 W EAU GALLIE BLVD STE A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329353185",
"telephone_number": "407-694-3603",
"fax_number": "321-296-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGESARE",
"first_name": "JANENE",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-02",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 7930",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "888867100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.