Individual provider Active NPI

Jaimie Gant, SLP

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1922742345
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA20401 Issued in FL
Practice address
829 W Dr Martin Luther King Jr Blvd Ste 254
Tampa, FL 33603-3309
Phone
(813) 586-0802
Fax
(813) 761-0755
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA20401 FL Primary

Addresses

Primary practice location

829 W Dr Martin Luther King Jr Blvd Ste 254
Tampa, FL 33603-3309

Mailing address

6421 N Florida Ave # D-633
Tampa, FL 33604-6007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221011002703 FL Practitioner - Qualified Speech Language Pathologist 2668848961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avec Therapy Services LLCGroup PAC ID 0840666145, 2 clinicians

Practice addresses (Care Compare)

205 E Hamilton Ave
Tampa, FL 33604-4815
Phone (352) 999-6999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avec Therapy Services LLC Speech-Language Pathologist CurrentSince Jul 21, 2022 Accepting new patients

Locations

829 W Dr Martin Luther King Jr Blvd
Ste 254
Tampa, FL 33603
Phone (813) 586-0802

6421 N Florida Ave
Tampa, FL 33604
Phone (813) 305-2867

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.

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1922742345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 N FLORIDA AVE # D-633",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336046007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 W DR MARTIN LUTHER KING JR BLVD STE 254",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033309",
            "telephone_number": "813-586-0802",
            "fax_number": "813-761-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANT",
        "first_name": "JAIMIE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 28, 2023; 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.

Verify at the official NPI Registry.