Active NPI
Jennifer Carey, MS, CCC, SLP
- Speech-Language Pathologist
- Fort Pierce, FL
National Provider Identifier
1962760496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA8515
- Practice address
- 7664 Germany Canal Rd
Fort Pierce, FL 34987-3300 - Phone
- (772) 216-4412
- Fax
- (772) 461-9954
- NPI assigned
- May 3, 2012
- 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 | SA8515 | FL | Primary |
Addresses
Primary practice location
7664 Germany Canal Rd
Fort Pierce, FL 34987-3300
Mailing address
256 NE Solida Dr
Port St Lucie, FL 34983-8440
Phone (772) 342-1238
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA8515 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Therapies, LLC | Speech-Language Pathologist | Past | Accepting new patients |
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": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1962760496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 NE SOLIDA DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349838440",
"telephone_number": "772-342-1238",
"fax_number": "772-461-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7664 GERMANY CANAL RD",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349873300",
"telephone_number": "772-216-4412",
"fax_number": "772-461-9954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "JENNIFER",
"credential": "MS, CCC, SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-03",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA8515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.