ANGELA MARIE WATTERS (NPI# 1619239894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619239894 |
| Entity Type | Individual |
| Full Name | ANGELA MARIE WATTERS |
| Credential | M.S., CCC-SLP |
| Practice Address |
9803 Old Saint Augustine Rd Suite 7 Jacksonville FL 32257-8854 |
| Mailing Address |
13035 Sunset Lake Dr Jacksonville FL 32258-8440 |
| Practice Telephone | 9048809001 |
| Mailing Telephone | 6189716202 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA11936 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
9803 OLD SAINT AUGUSTINE RD SUITE 7 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-8854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568428936 | Taylor Sands | Speech-Language Pathologist | 9803 Old Saint Augustine Rd, Suite 7, Jacksonville, FL 32257-8854 | 2006-04-25 |
| 1023046133 | Alisa Danelle Demico | Speech-Language Pathologist | 9803 Old Saint Augustine Rd, Suite 7, Jacksonville, FL 32257-8854 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| 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 | 32257 |
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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.