Jennifer M Ditges, M.S. CCC-SLP

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

9356 River Pine Rd
Jacksonville, FL 32257-4929

Phone

(904) 588-8285

NPI assigned

Feb 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1932421054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9356 RIVER PINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574929",
            "telephone_number": "904-588-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9356 RIVER PINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574929",
            "telephone_number": "904-588-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITGES",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 10304",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Patrick Dishong, M.D.
• Zachary Dismer, FNP
• Lee Charles Dison, ATC/LAT
• Dishaun Disu, LMHC
• Linda Ann Diteodoro, MD
• Rachel Abigail Ditrapani, MD
• Celeste Eromacys Ditroia, BA, MS, LPC, LMHC
• Kathleen E Ditto, MA OTR
• Gavin Douglas Divertie, MD
• Viky Divertie, ARNP

• Personal Care Attendant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Personal Care Attendant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.