Active NPI
Alicia Bernet
- Speech-Language Pathologist
- Jacksonville, FL
National Provider Identifier
1962796961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10426
- Practice address
- 11512 Lake Mead Ave
Suite 604
Jacksonville, FL 32256-9680 - Phone
- (904) 652-5408
- NPI assigned
- Jun 7, 2011
- 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 | 10426 | FL | Primary |
Addresses
Primary practice location
11512 Lake Mead Ave
Suite 604
Jacksonville, FL 32256-9680
Mailing address
448 Clearwater Dr
Ponte Vedra Beach, FL 32082-4170
Phone (904) 834-3970
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10426 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1962796961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 CLEARWATER DR",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320824170",
"telephone_number": "904-834-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11512 LAKE MEAD AVE",
"address_2": "SUITE 604",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569680",
"telephone_number": "904-652-5408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNET",
"first_name": "ALICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "10426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.