NPIMap

Organization Active NPI

Jessica M. Booth M.S.CCC-SLP & Assoc. ,P.a.

  • Speech-Language Pathologist
  • Davie, FL
National Provider Identifier
1770718462
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 8417 Issued in FL
Legal business name
JESSICA M. BOOTH M.S.CCC-SLP & ASSOC. ,P.A.
Practice address
7782 N Southwood Cir
Davie, FL 33328-3810
Phone
(954) 319-7609
Fax
(440) 965-4303
NPI assigned
May 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Ms. Jessica Marie Booth, M. S. CCC-SLPNPI 1023108891
Title
Speech-Language Pathologist/Owner
Phone
(954) 319-7609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA 8417 FL Primary

Addresses

Primary practice location

7782 N Southwood Cir
Davie, FL 33328-3810

Mailing address

7782 N Southwood Cir
Davie, FL 33328-3810
Phone (954) 319-7609

Other identifiers 2

IdentifierTypeStateIssuer
1023108891OtherFLINDIV. NPI
890534700MedicaidFL

National Provider Directory

National Provider Directory

Locations

5400 S University Dr
Ste 215A
Davie, FL 33328
Phone (954) 261-2585

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1770718462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7782 N SOUTHWOOD CIR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283810",
            "telephone_number": "954-319-7609",
            "fax_number": "440-965-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7782 N SOUTHWOOD CIR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283810",
            "telephone_number": "954-319-7609",
            "fax_number": "440-965-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA M. BOOTH M.S.CCC-SLP & ASSOC. ,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-25",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "954-319-7609",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M. S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV. NPI",
            "identifier": "1023108891",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890534700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.