AUDREY PETERSEN CCC-SLP
NPI 1336694892
Speech-Language Pathologist in Jacksonville, FL
NPI Status: Active since August 24, 2016
Contact Information
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 886-3228
- Individual
- Female
- Speech-Language Pathologist
- Accepts Insurance
About AUDREY PETERSEN
This page provides the complete NPI Profile along with additional information for Audrey Petersen, a provider established in Jacksonville, Florida with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1336694892 assigned on August 2016. The practitioner's primary taxonomy code is 235Z00000X with license number SA15457 (FL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1336694892
- Provider Name
- AUDREY PETERSEN CCC-SLP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12276 SAN JOSE BLVD STE 508 JACKSONVILLE, FL 32223
- Location Phone
- (904) 886-3228
- Mailing Address
- 12276 SAN JOSE BLVD STE 508 JACKSONVILLE, FL 32223
- Mailing Phone
- (904) 886-3228
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-24-2016
- Last Update Date
- 09-30-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- SA15457
- License State
- FL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | SZ7762 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear VALUE Silver - HMO
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Elite VALUE Bronze - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 018756200 | MEDICAID (05) | FL |
Reviews for AUDREY PETERSEN CCC-SLP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 6 | 9 | 4 | 8 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 12 | 9 | 8 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 2 + 9 + 8 + 8 + 1 + 8 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1336694892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
SARAH CHALOUPEK
Physical Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
KRISTIN DIEHL
Physical Therapist
(Pediatrics)
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
PAULA WHITLOCK
Physical Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
KIMBERLY LOVING
Developmental Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
JENNIFER LEHMAN
Developmental Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
LAUREN ALBERT
Developmental Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
JESSICA DAILEY DPT
Physical Therapist
(Pediatrics)
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
KELLEY SENAK DPT
Physical Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
MISS STEPHANIE JONES
Developmental Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
MRS. KIMBERLY JOY RYDEL
Developmental Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
KRISTIN SANDERS
Developmental Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
SANDRA LANSIN
Developmental Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
KHYAH WATKINS
Developmental Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
KATELYN HARLANDER-LOCKE
Developmental Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
CRYSTAL MENDOZA
Developmental Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
JILLTORRA MACK
Developmental Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
CHARIS MICHELLE DAY
Speech-Language Pathologist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
MONICA LEE STEELE
Behavior Technician
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
KEVIN DUMPHY
Behavior Technician
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
JESSICA SHELHAMER
Developmental Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL
ZIP 32223
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336694892, enumerated as an "individual" on August 24, 2016.
The provider is located at 12276 SAN JOSE BLVD STE 508 JACKSONVILLE, FL 32223 and the phone number is (904) 886-3228.
Speech-Language Pathologist with taxonomy code 235Z00000X.
The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.
