Jayda Renae Varner

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA18325 Issued in FL

Practice address

3775 Peachtree Way
Niceville, FL 32578-1130

Phone

(304) 231-7603

NPI assigned

Aug 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Quality Home Therapy PLLC

  • Occupational Therapist
  • Pensacola, FL
  • NPI 1881238277
  Medicare reassignment NPD
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Shalimar, FL
  • NPI 1407382278
  NPD (past)

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1689074429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 PEACHTREE WAY",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781130",
            "telephone_number": "304-231-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 PEACHTREE WAY",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781130",
            "telephone_number": "304-231-7603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3191 Glen Dale Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Dale",
            "state": "WV",
            "postal_code": "260381177",
            "country_code": "US",
            "telephone_number": "304-231-7603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARNER",
        "first_name": "JAYDA",
        "middle_name": "RENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lalitha Vadlamani-Simmers, M.D.
• Louis Vagias II, MD
• Vale of Paradise Emergency Physicians, LLC
• Chelsea Breanne Vanderford, COUNSELOR INTERN
• Natalie Jo Vanrandwyk, MS, CCC-SLP
• Victor Vega-Mercado
• Kimberly Vele
• Olivia Victor, RBT
• Jodi L. Visi
• Hailey Lynn Wagner, PT, DPT

• Speech-Language Pathologist in Niceville, FL
• Providers in Niceville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.