JESSICA R MABRY (NPI# 1689170581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689170581 |
| Entity Type | Individual |
| Full Name | JESSICA R MABRY |
| Credential | CCC-SLP CBIS |
| Practice Address |
4202 E Fowler Ave Tampa FL 33620 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 8139742011 |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA10662 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 024865200 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 7N67F | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336501808 | Jessica Mabry | Physical Therapist | 4500 San Pablo Rd, Jacksonville, FL 32224 | 2016-03-24 |
| Street Address |
4202 E FOWLER AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793004 | Melissa M Bailey | Nurse Practitioner | 4202 E Fowler Ave, Shs100, Tampa, FL 33620-6750 | 2005-10-12 |
| 1023615226 | Allison Bootz | Student in an Organized Health Care Education/Training Program | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2020-10-01 |
| 1265050926 | Macy Franklin | Specialist/Technologist | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2020-07-09 |
| 1043834351 | Marian Alice Lowther | Speech-Language Pathologist | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2020-06-02 |
| 1235750928 | Bethany Moorhouse | Student in an Organized Health Care Education/Training Program | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2020-05-04 |
| 1245872985 | Stacey Julia Struhar | Dietitian, Registered | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-10-15 |
| 1609439074 | Khalid Shakfeh | Student in an Organized Health Care Education/Training Program | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-04-20 |
| 1598228256 | Isabella Abbasi | Specialist/Technologist | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-04-10 |
| 1396201448 | Vanessa Chantal Barber | Social Worker | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-02-13 |
| 1588128698 | Kassandra Lynch | Specialist/Technologist | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145542 | Ramon Ramirez | Specialist/Technologist | 4202 E Fowler Ave., Ath 100, Tampa, FL 33620 | 2018-12-17 |
| 1093818908 | Theresa Hnath-chisolm | Audiologist | 4202 E Fowler Aveune, University of South Florida PCd 1017, Tampa, FL 33620 | 2006-09-06 |
| 1215303805 | Kaitlyn Rechenberg | Nurse Practitioner | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2015-08-18 |
| 1245527738 | Kelli Gorajec | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620 | 2011-07-05 |
| 1487843637 | Jane Bradley Smart | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620 | 2007-10-23 |
| 1912082199 | Rebecca Marie Lutz | Nurse Practitioner | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2006-10-26 |
| 1306956206 | Wendy Weiss | Family Medicine | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2006-08-30 |
| 1518472901 | Kacey Garcia Poulin | Speech-Language Pathologist | 4202 E Fowler Ave PCd2000, Tampa, FL 33620-0001 | 2017-12-06 |
| 1598275695 | Laura Anne Marshall | Behavior Technician | Usf Birch Drive, Tampa, FL 33620-0001 | 2017-10-04 |
| 1053793026 | University Medical Service Association Inc | Clinical Medical Laboratory | 4107 Usf Cedar Cir, Ste 171, Tampa, FL 33620-0001 | 2015-06-25 |
| Find all providers in zip 33620 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813019 | Anna Marie Mainiero | Speech-Language Pathologist | 4707 W Gandy Blvd Ste 3, Tampa, FL 33611-3310 | 2020-08-28 |
| 1992322028 | Anna Marie Kresek | Speech-Language Pathologist | 8768 Key Biscayne Dr Apt 304, Tampa, FL 33614-2220 | 2020-07-06 |
| 1760006456 | Marina Eshak | Speech-Language Pathologist | 4915 S West Shore Blvd, Tampa, FL 33611-3329 | 2020-05-29 |
| 1629602677 | Kirsten Osborn | Speech-Language Pathologist | 2111 W Swann Ave Ste A1, Tampa, FL 33606-2477 | 2020-02-28 |
| 1437719531 | Kathleen Trimpert | Speech-Language Pathologist | 3605 S Clark Ave, Tampa, FL 33629-8518 | 2019-06-19 |
| 1154980381 | Nilsa Ivette Agrait | Speech-Language Pathologist | 16337 Compton Palms Dr, Tampa, FL 33647-1539 | 2019-06-11 |
| 1477015485 | Christina S Bourbon | Speech-Language Pathologist | 607 S Westland Ave Apt 10, Tampa, FL 33606-2460 | 2019-04-01 |
| 1922579457 | Milica Savic | Speech-Language Pathologist | 1510 W Carmen St Apt 3327, Tampa, FL 33606-0017 | 2018-12-10 |
| 1477022077 | Caitlin Street Al-mutawa | Speech-Language Pathologist | 10420 Mckinley Dr Apt 4301, Tampa, FL 33612-6436 | 2018-11-13 |
| 1528536653 | Jenna Garrick | Speech-Language Pathologist | 2101 W Hills Ave, Tampa, FL 33606-3120 | 2018-11-07 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.