Individual provider Active NPI

Jennifer Riefe, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Lakeland, FL
National Provider Identifier
1770151441
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19201 Issued in FL
Practice address
1215 E Orange St
Lakeland, FL 33801-5762
Phone
(863) 802-3800
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 19201 FL Primary

Addresses

Primary practice location

1215 E Orange St
Lakeland, FL 33801-5762

Mailing address

14059 Riveredge Dr Unit 10105
Tampa, FL 33637-1065
Phone (563) 320-6885

Other identifiers 1

IdentifierTypeStateIssuer
19201OtherFLFLORIDA BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY (BD)

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL WebPT Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909004136 IA Practitioner - Qualified Speech Language Pathologist 7214430040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connect Therapy PLLCGroup PAC ID 4880033539, 3 clinicians

Practice addresses (Care Compare)

9325 Bishop Ave
Suite 110
West Des Moines, IA 50266-1642
Phone (515) 207-2526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
19201FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Therapy, PLLC Speech-Language Pathologist CurrentSince Aug 27, 2025 Accepting new patients
Pediatric Therapy Services Inc Speech-Language Pathologist PastSince Jun 22, 2021 Accepting new patients

Locations

9325 Bishop Dr
Ste 110
West Des Moines, IA 50266
Phone (515) 207-2526

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1770151441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14059 RIVEREDGE DR UNIT 10105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371065",
            "telephone_number": "563-320-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E ORANGE ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015762",
            "telephone_number": "863-802-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEFE",
        "first_name": "JENNIFER",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "19201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY (BD)",
            "identifier": "19201",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1215 E Orange St",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338015762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.