Donna Rae Chubb, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA2451 Issued in FL

Practice address

12355 Shell Beach TRL
Jacksonville, FL 32246-7099

Phone

(904) 228-7568

Fax

(904) 220-2593

NPI assigned

Sep 13, 2010

Last updated

Sep 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1841507852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12355 SHELL BEACH TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467099",
            "telephone_number": "904-228-7568",
            "fax_number": "904-220-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12355 SHELL BEACH TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467099",
            "telephone_number": "904-228-7568",
            "fax_number": "904-220-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUBB",
        "first_name": "DONNA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chronius Care Medical Group PLLC
• Alexis Chrystman
• Andrew Chrystman
• Francis A Chrzanowski Jr., MD
• Brittany Rachelle Chubb
• Olexy V Chugay, M.D.
• Chioma Chukwuanu
• Jake N Chulla
• Saranya Chumsri, MD
• Ada Chung

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.