Individual provider Active NPI

Jaime L Miale, MA, CCC-SLP

  • Speech-Language Pathologist
  • Ocala, FL
National Provider Identifier
1740549872
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PCET001620 Issued in GA
Practice address
5101 SW 60TH Street Rd Apt 2105
Ocala, FL 34474-4712
Phone
(407) 247-5250
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA16397 FL
Speech-Language Pathologist 235Z00000X 12152884
Speech-Language Pathologist 235Z00000X PCET001620 GA Primary

Addresses

Primary practice location

5101 SW 60TH Street Rd Apt 2105
Ocala, FL 34474-4712

Mailing address

5101 SW 60TH Street Rd Apt 2105
Ocala, FL 34474-4712
Phone (407) 247-5250

Other identifiers 3

IdentifierTypeStateIssuer
12152884OtherGAASHA
SA16397OtherFLFLORIDA LICENSURE
PCET001620OtherGAPCE TEMPORARY LICENSE

Other names 1

  • Jaime Leigh Harris Former name

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
SA16397FLMDSpeech-Language Pathologist
PCET001620GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1740549872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 SW 60TH STREET RD APT 2105",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744712",
            "telephone_number": "407-247-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 SW 60TH STREET RD APT 2105",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744712",
            "telephone_number": "407-247-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIALE",
        "first_name": "JAIME",
        "middle_name": "L",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16397",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "12152884",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET001620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12152884",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSURE",
            "identifier": "SA16397",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCE TEMPORARY LICENSE",
            "identifier": "PCET001620",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "HARRIS",
            "middle_name": "LEIGH",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.