Active NPI
Jenna A Spitzer, SLP
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1871998294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA14158
- Practice address
- 12060 SW 129TH CT
#107
Miami, FL 33186-4581 - Phone
- (305) 378-5247
- Fax
- (305) 378-6760
- NPI assigned
- Oct 28, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA14158 | FL | Primary |
Addresses
Primary practice location
12060 SW 129TH CT
#107
Miami, FL 33186-4581
Mailing address
12060 SW 129TH CT
#107
Miami, FL 33186-4581
Phone (305) 378-5247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA14158 | Other | FL | DEPT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12060 SW 129TH CT
Suite 107
Miami, FL 33186-4582
Phone (305) 378-5247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA14158 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Therapy Works Inc | Current | Accepting new patients |
Locations
12060 SW 129th Ct
Ste 107
Miami, FL 33186
Phone (305) 378-5247
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.
-
- Rehabilitation Clinic/Center
- Miami, FL
- NPI 1104919653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1871998294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12060 SW 129TH CT",
"address_2": "#107",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864581",
"telephone_number": "305-378-5247",
"fax_number": "305-378-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12060 SW 129TH CT",
"address_2": "#107",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864581",
"telephone_number": "305-378-5247",
"fax_number": "305-378-6760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPITZER",
"first_name": "JENNA",
"middle_name": "A",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA14158",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF HEALTH",
"identifier": "SA14158",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.