Jennifer Reynolds, M.S., C.C.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6565 Issued in FL

Practice address

1046 Viscaya Blvd
Saint Augustine, FL 32086-7081

Phone

(813) 732-3169

Fax

(813) 732-3169

NPI assigned

Sep 12, 2006

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Beth Ingram & Associates, Inc.

  dba HealthPRO Pediatrics

  • Speech-Language Pathologist
  • Brandon, FL
  • NPI 1558438291

  Developmental Therapist

  NPD (past)
• Integrity Therapy Solutions, Inc.

  • Occupational Therapist
  • Brandon, FL
  • NPI 1306150677

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1710081344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 VISCAYA BLVD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320867081",
            "telephone_number": "813-732-3169",
            "fax_number": "813-732-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 VISCAYA BLVD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320867081",
            "telephone_number": "813-732-3169",
            "fax_number": "813-732-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "M.S., C.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA #",
            "identifier": "S2487",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812058700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887091800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restore Community Counseling
• Luke Jared Retherford, OTR/L
• Charlie Lee Revay
• Karl Reyes, RN
• Regino Irwin Bariso Reyes, PT
• Samantha D Reynolds, APRN
• Rez Inc
• Rheumatology Wellness Center PLLC
• Trayce Rhoads, APRN, PMHNP-BC
• Anne Marie Rhoden, LMT

• Speech-Language Pathologist in St Augustine, FL
• Providers in St Augustine, 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 Mar 20, 2026; 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.