Active NPI
Jennifer Cram, CCC-SLP
- Speech-Language Pathologist
- Dade City, FL
National Provider Identifier
1811103419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 8599
- Practice address
- 12031 Carmen Ave
Ste 100
Dade City, FL 33525-5740 - Phone
- (727) 541-5304
- Fax
- (727) 546-8527
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 8599 | FL | Primary |
| Developmental Therapist | 222Q00000X | 001257600 | FL |
Addresses
Primary practice location
12031 Carmen Ave
Ste 100
Dade City, FL 33525-5740
Mailing address
12031 Carmen Ave
Ste 100
Dade City, FL 33525-5740
Phone (727) 541-5304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12092477 | Other | FL | ASHA CERTIFICATION |
| 891933000 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001257600 | FL | MD | Developmental Therapist |
| SA 8599 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Living Inc. | Developmental Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Tampa, FL
- NPI 1124072947
Developmental Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1811103419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12031 CARMEN AVE",
"address_2": "STE 100",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255740",
"telephone_number": "727-541-5304",
"fax_number": "727-546-8527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12031 CARMEN AVE",
"address_2": "STE 100",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255740",
"telephone_number": "727-541-5304",
"fax_number": "727-546-8527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAM",
"first_name": "JENNIFER",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 8599",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "001257600",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA CERTIFICATION",
"identifier": "12092477",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891933000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.