Jeanne Federico, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA9223 Issued in FL

Practice address

16102 N Florida Ave
Lutz, FL 33549-6129

Phone

(813) 873-1936

Fax

(813) 873-8837

NPI assigned

Jan 2, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1699832428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16102 N FLORIDA AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496129",
            "telephone_number": "813-873-1936",
            "fax_number": "813-873-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16102 N FLORIDA AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496129",
            "telephone_number": "813-873-1936",
            "fax_number": "813-873-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICO",
        "first_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891000600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Farooqi, MD
• Amanda Farrell
• James Terence Farrell, DO
• Azeezat Fashola, NP
• Douglas Fasnacht, PHARMD
• Wilchenda Felix
• Stephanie L. Fenlon, D.O.
• Delia Fermin de Melo
• Amanda Maria Fernandes
• Neysi Fernandez Pino

• Speech-Language Pathologist in Lutz, FL
• Providers in Lutz, 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 Aug 1, 2016; 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.