Jacqueline Mary Mullay

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA7927 Issued in FL

Practice address

4780 Data Court
Orlando,, FL 32817

Phone

(407) 852-3347

NPI assigned

Aug 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1750937157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 ATLANTIC PUFFIN ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 DATA COURT",
            "city": "ORLANDO,",
            "state": "FL",
            "postal_code": "32817",
            "telephone_number": "407-852-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLAY",
        "first_name": "JACQUELINE",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880020100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Gail Mulberry
• Neisha T Mulchan, APRNFNP-C
• Christopher E. Mulder, CRNA
• Ruth Antonette Mulder, RPH
• Sonny Muli, RBT
• Jennifer Elizabeth Mullen
• Kyle Mullen
• Adriene Muller, RD
• Jean-Yves Muller, RPH
• Kristen Noel Muller

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, 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 21, 2019; 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.