MR. IAN SETH OTTO (NPI# 1295965176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295965176 |
Entity Type | Individual |
Full Name | MR. IAN SETH OTTO |
Practice Address |
13400 Sutton Park Dr S Suite 1101 Jacksonville FL 32224-0236 |
Mailing Address |
13525 Valbuena Ct Jacksonville FL 32224-3087 |
Practice Telephone | 9042548713 |
Mailing Telephone | 9045364962 |
Enumeration Date | 2009-07-25 |
Last Update Date | 2009-07-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 26-4600206 | FL | Speech, Language and Hearing Service Providers |
Street Address |
13400 SUTTON PARK DR S SUITE 1101 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32224-0236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255331237 | Randi Most | Clinical Neuropsychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2005-07-30 |
1588122188 | Rayna Vaught Godfrey | Psychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 | 2019-03-04 |
1457755530 | Healing Hearts Therapy LLC | Counselor | 13400 Sutton Park Dr S, Suite 1001-4/5, Jacksonville, FL 32224-0236 | 2014-10-17 |
1093128878 | Haley Dawson | Counselor | 13400 Sutton Park Dr S, Ste 1001, Jacksonville, FL 32224-0236 | 2014-06-09 |
1093099970 | Theresa Maria Dinuzzo | Psychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2011-10-10 |
1235455239 | Providential Health Care, Inc | In Home Supportive Care | 13400 Sutton Park Dr S, Suite 1101, Jacksonville, FL 32224-0236 | 2010-04-15 |
1427203736 | Liza Cristin Provenzano | Counselor | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2008-12-01 |
1699948547 | Sharon A Knapp | Massage Therapist | 13400 Sutton Park Dr S, Suite 1502, Jacksonville, FL 32224-0236 | 2008-04-10 |
1770788390 | Susan N Young Inc | Clinical Neuropsychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2007-06-15 |
1215039656 | Susan Nilette Young | Clinical Neuropsychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2006-09-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
Find all providers in zip 32224 |
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 |
---|---|---|---|---|
1245848514 | Danielle Huckaba | Speech-Language Pathologist | 12023 Wren Hollow Ct, Jacksonville, FL 32246-7787 | 2020-07-22 |
1699392209 | Paige E Searcy | Speech-Language Pathologist | 907 Greenridge Rd, Jacksonville, FL 32207-5251 | 2020-06-30 |
1568086619 | Carmen Schneider | Speech-Language Pathologist | 7701 Timberlin Park Blvd Apt 831, Jacksonville, FL 32256-5447 | 2020-06-04 |
1730702713 | Jennifer Horn Debardeleben | Speech-Language Pathologist | 2101 W Palm Ave, Jacksonville, FL 32254-1734 | 2020-05-25 |
1508485509 | Growing Voices Therapies, LLC | Speech-Language Pathologist | 12964 Julington Ridge Dr E, Jacksonville, FL 32258-3412 | 2020-04-10 |
1215561352 | Lori Connon | Speech-Language Pathologist | 2334 Covington Creek Cir W, Jacksonville, FL 32224-1177 | 2020-02-27 |
1922631779 | Homegrown Communication-slp, LLC | Speech-Language Pathologist | 5163 Shirley Ave, Jacksonville, FL 32210-3145 | 2020-02-20 |
1194357517 | Lauren Lynne Blunk | Speech-Language Pathologist | 1010 N Davis St, Jacksonville, FL 32209-6824 | 2020-02-05 |
1669018255 | Ying Dong | Speech-Language Pathologist | 7262 Deerfoot Point Cir Unit 3, Jacksonville, FL 32256-8623 | 2019-11-19 |
1710543764 | Lesley Nicole Summers | Speech-Language Pathologist | 6817 Southpoint Pkwy Ste 1701, Jacksonville, FL 32216-6298 | 2019-05-15 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32224 |
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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.