MRS. JESSICA LAURETTE GENTRY (NPI# 1609176411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609176411 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA LAURETTE GENTRY |
| Credential | M.S., CCC-SLP |
| Practice Address |
1069 John Sims Pkwy E Suite #4 Niceville FL 32578-2767 |
| Practice Telephone | 8508973013 |
| Practice Fax Number | 8508970149 |
| Mailing Telephone | 8508973013 |
| Mailing Fax Number | 8508970149 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA 9528 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416124 | Jessica Rose Gentry | Counselor | 111 N Wabash Ave Ste 1400, Chicago, IL 60602-3074 | 2020-10-28 |
| 1215289202 | Jessica Lea Gentry | Counselor | 3407 W Slaughter Ln, Suite A, Austin, TX 78748-5711 | 2012-10-15 |
| Street Address |
1069 JOHN SIMS PKWY E SUITE #4 |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-2767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518180983 | Kristen Marie Bowers | Speech-Language Pathologist | 1069 John Sims Pkwy E, Niceville, FL 32578-2767 | 2007-04-11 |
| 1144605833 | Heather Dew | Speech-Language Pathologist | 1069 John Sims Pkwy E, Suite 4, Niceville, FL 32578-2767 | 2015-07-23 |
| 1821403270 | Kelsey Carr | Speech-Language Pathologist | 1069 John Sims Pkwy E, Suite 4, Niceville, FL 32578-2767 | 2014-06-24 |
| 1710290309 | Emerald Coast Speech Services | Speech-Language Pathologist | 1069 John Sims Pkwy E, Suite # 4, Niceville, FL 32578-2767 | 2010-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| 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 |
|---|---|---|---|---|
| 1003390071 | Cheryl A Stubbs | Speech-Language Pathologist | 410 Olde Post Rd, Niceville, FL 32578-3906 | 2018-09-17 |
| 1598259376 | Speech At The Beach | Speech-Language Pathologist | 1910 Oak Ave, Niceville, FL 32578-3610 | 2018-06-15 |
| 1922517101 | Stephanie Lacorte | Speech-Language Pathologist | 1069 John Sims Pkwy E Ste 4, Niceville, FL 32578-2768 | 2017-09-20 |
| 1376817403 | Ariell Roxanne Chambers | Speech-Language Pathologist | 103 Midland Ct, Niceville, FL 32578-9765 | 2012-03-07 |
| 1780915249 | Deana D Fagundes | Speech-Language Pathologist | 1319 Windward Cir, Niceville, FL 32578-4310 | 2010-01-23 |
| 1255664843 | Natalie Jo Vanrandwyk | Speech-Language Pathologist | 187 Red Maple Way, Niceville, FL 32578-3746 | 2009-09-14 |
| 1518180983 | Kristen Marie Bowers | Speech-Language Pathologist | 1069 John Sims Pkwy E, Niceville, FL 32578-2767 | 2007-04-11 |
| 1922666825 | Tayler Peoples | Speech-Language Pathologist | 1069 John Sims Pkwy E Ste 4, Niceville, FL 32578-2768 | 2019-06-05 |
| 1144605833 | Heather Dew | Speech-Language Pathologist | 1069 John Sims Pkwy E, Suite 4, Niceville, FL 32578-2767 | 2015-07-23 |
| 1821403270 | Kelsey Carr | Speech-Language Pathologist | 1069 John Sims Pkwy E, Suite 4, Niceville, FL 32578-2767 | 2014-06-24 |
| Find all providers in NICEVILLE | ||||
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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.