Active NPI
Jennifer Leigh Cairns, MA, CCC-SLP
- Speech-Language Pathologist
- Melbourne, FL
National Provider Identifier
1720322456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 9108
- Practice address
- 3191 Charon Ave
Melbourne, FL 32904-7576 - Phone
- (321) 506-9887
- NPI assigned
- Nov 19, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | SA 9108 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA 9108 | FL | Primary |
Addresses
Primary practice location
3191 Charon Ave
Melbourne, FL 32904-7576
Mailing address
3191 Charon Ave
Melbourne, FL 32904-7576
Phone (321) 506-9887
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 9108 | FL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1720322456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3191 CHARON AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329047576",
"telephone_number": "321-506-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3191 CHARON AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329047576",
"telephone_number": "321-506-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIRNS",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "SA 9108",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 9108",
"primary": true
}
],
"identifiers": [],
"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 Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.