Jamila Cloward

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

910 S Winterhawk Dr
Ste 107
St Augustine, FL 32086-3870

Phone

(904) 217-3914

Fax

(904) 217-3892

NPI assigned

Dec 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ancient City Children'S Therapy, LLC

  • Specialist
  • St Augustine, FL
  • NPI 1619267671
  NPD (past)

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1962823161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S WINTERHAWK DR",
            "address_2": "STE 107",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863870",
            "telephone_number": "904-217-3914",
            "fax_number": "904-217-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S WINTERHAWK DR",
            "address_2": "STE 107",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863870",
            "telephone_number": "904-217-3914",
            "fax_number": "904-217-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOWARD",
        "first_name": "JAMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Cline, LMHC
• Shelby H Cline, MD
• Linda Sue Clonch, M.D.
• Kelly T Clouse, MD
• Michelle Marie Cloutier, LMT
• Bethany Clubb, PT, DPT
• Coamex Therapy Services
• Coast Dental P.a.
• Coast to Coast Dignity for Vets, Inc.
• Coast to Coast Therapy LLC

• All providers in St Augustine, FL
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.