Empowered Voice Rehabilitation LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

EMPOWERED VOICE REHABILITATION LLC

Practice address

15754 Spotted Saddle Cir
Jacksonville, FL 32218-7979

Phone

(904) 539-9939

Fax

(904) 395-2255

NPI assigned

Apr 29, 2022

Organization subpart

No

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

Authorized official

Name

Ashley Michaelis, M.S., CCC-SLPNPI 1801218433

Title

Owner/Voice & Swallowing Specialist

Phone

(904) 539-9930

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Michaelis, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1801218433
  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Christine McCravy Bryant, SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1306448535
  Medicare reassignment Care Compare group NPD
• Nakiedra Nicole Thomas, M.S., CF-SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1265265532
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1790420198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950-60 SAN JOSE BLVD",
            "address_2": "#268",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32223",
            "telephone_number": "904-539-9939",
            "fax_number": "904-395-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15754 SPOTTED SADDLE CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187979",
            "telephone_number": "904-539-9939",
            "fax_number": "904-395-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED VOICE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "MICHAELIS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/VOICE & SWALLOWING SPECIALIST",
        "authorized_official_telephone_number": "904-539-9930",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.