Individual provider Active NPI

Angele D. Jabre, M.A, CCC-SLP

  • Speech-Language Pathologist
  • Sarasota, FL
National Provider Identifier
1699132118
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.10785 Issued in OH
Practice address
5174 Cote Du Rhone Way
Sarasota, FL 34238-4470
Phone
(317) 607-2135
NPI assigned
Jan 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4774 MA
Speech-Language Pathologist 235Z00000X SP.10785 OH Primary
Speech-Language Pathologist 235Z00000X SA12775 FL
Speech-Language Pathologist 235Z00000X 22004444A IN

Addresses

Primary practice location

5174 Cote Du Rhone Way
Sarasota, FL 34238-4470

Mailing address

5174 Cote Du Rhone Way
Sarasota, FL 34238-4470
Phone (317) 607-2135

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

LicenseStateTypeSpecialty
4774MAMDAudiologist
SA12775FLMDSpeech-Language Pathologist
22004444AINMDSpeech-Language Pathologist
SP.10785OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1699132118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5174 COTE DU RHONE WAY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342384470",
            "telephone_number": "317-607-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5174 COTE DU RHONE WAY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342384470",
            "telephone_number": "317-607-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABRE",
        "first_name": "ANGELE",
        "middle_name": "D.",
        "credential": "M.A, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "4774",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.10785",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12775",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004444A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.