Individual provider Active NPI

Jennifer Messer

  • Speech-Language Pathologist
  • Pensacola, FL
National Provider Identifier
1972113926
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ9596 Issued in FL
Practice address
7830 Pine Forest Rd
Pensacola, FL 32526-8404
Phone
(850) 941-5000
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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 SZ9596 FL Primary

Addresses

Primary practice location

7830 Pine Forest Rd
Pensacola, FL 32526-8404

Mailing address

3120 Oak Shadow LN
Pensacola, FL 32504-4967
Phone (850) 723-7701

Other identifiers 1

IdentifierTypeStateIssuer
SZ9596OtherFLSPEECH LANGUAGE PATHOLOGIST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pensacola

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

LicenseStateTypeSpecialty
SZ9596FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1972113926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 OAK SHADOW LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044967",
            "telephone_number": "850-723-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 PINE FOREST RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325268404",
            "telephone_number": "850-941-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSER",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "SZ9596",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pensacola",
            "affiliation": "N",
            "address_1": "3120 Oak Shadow Ln",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325044967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.