Individual provider Active NPI

Jodi Ann Scobey, M.S,CCC-SLP

  • Speech-Language Pathologist
  • Lakeland, FL
National Provider Identifier
1770817496
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 9391 Issued in FL
Practice address
2484 Ladoga Dr
Lakeland, FL 33805-9535
Phone
(863) 838-0352
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 9391 FL Primary
Early Intervention Provider Agency 252Y00000X SA 9391 FL

Addresses

Primary practice location

2484 Ladoga Dr
Lakeland, FL 33805-9535

Mailing address

2484 Ladoga Dr
Lakeland, FL 33805-9535
Phone (863) 838-0352

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 Science

State licenses

LicenseStateTypeSpecialty
SA 9391FLMDEarly Intervention Provider Agency

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1770817496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 LADOGA DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338059535",
            "telephone_number": "863-838-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484 LADOGA DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338059535",
            "telephone_number": "863-838-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOBEY",
        "first_name": "JODI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9391",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "SA 9391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 8, 2013; 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.