Individual provider Active NPI

Jenna McCoid

  • Speech-Language Assistant
  • Tampa, FL
National Provider Identifier
1912610130
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
4989 Issued in FL
Practice address
1344 W Fletcher Ave Ste 104
Tampa, FL 33612-3366
Phone
(813) 961-1666
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 4989 FL Primary

Addresses

Primary practice location

1344 W Fletcher Ave Ste 104
Tampa, FL 33612-3366

Mailing address

8500 Hunters Village Rd Unit 438
Tampa, FL 33647-3813

Other names 1

  • Jenna Lacy Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlacy@healthpro-heritage.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Therapy Solutions, Inc. Speech-Language Assistant PastSince Jan 8, 2023 Accepting new patients
Beth Ingram & Associates, Inc. PastSince Jan 8, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1912610130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 HUNTERS VILLAGE RD UNIT 438",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 W FLETCHER AVE STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123366",
            "telephone_number": "813-961-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOID",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "4989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlacy@healthpro-heritage.com",
            "affiliation": "N",
            "endpointDescription": "Work encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "1344 W Fletcher Ave Ste 104",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336123366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "LACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.