Individual provider Active NPI

Jennifer Marie Cloud, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Tallahassee, FL
National Provider Identifier
1992845408
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8628 Issued in FL
Practice address
2424 Millcreek CRT.
Suite 1
Tallahassee, FL 32308-8301
Phone
(850) 656-1600
Fax
(850) 656-9200
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 SA8628 FL Primary

Addresses

Primary practice location

2424 Millcreek CRT.
Suite 1
Tallahassee, FL 32308-8301

Mailing address

2424 Mill Creek CRT.
Suite 1
Tallahassee, FL 32308-8301
Phone (850) 656-1600

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 Arts

State licenses

LicenseStateTypeSpecialty
SA8628FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Therapy, P.a. 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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992845408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 MILL CREEK CRT.",
            "address_2": "SUITE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088301",
            "telephone_number": "850-656-1600",
            "fax_number": "850-656-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 MILLCREEK CRT.",
            "address_2": "SUITE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088301",
            "telephone_number": "850-656-1600",
            "fax_number": "850-656-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUD",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.