CARRIE JACKA
NPI 1356078075
Speech-Language Pathologist in Brandon, FL

Active since August 03, 2022
1465 OAKFIELD DR, BRANDON, FL 33511(509) 847-8847 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carrie Jacka NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARRIE JACKA (NPI 1356078075) is an individual speech-language pathologist provider in Brandon, Florida and active in the NPI registry since August 2022. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1356078075
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCARRIE JACKA
Location Address1465 OAKFIELD DRBrandon, FL 33511-4854
Mailing Address9513 Delaney Creek Blvd Apt 201Tampa, FL 33619-5181 · (509) 847-8847
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
NPI 1356078075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition

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.

1465 OAKFIELD DR, Brandon, FL 33511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carrie Jacka is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608384706
PECOS Enrollment IDI20250731002884

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1465 OAKFIELD DR
BRANDON, FL 33511
Physical Therapy Assistant
1465 OAKFIELD DR
BRANDON, FL 33511
Skilled Nursing Facility
1465 OAKFIELD DR
BRANDON, FL 33511
Speech-Language Pathologist
1465 OAKFIELD DR
BRANDON, FL 33511
Physical Therapist
1465 OAKFIELD DR
BRANDON, FL 33511
Speech-Language Pathologist
1465 OAKFIELD DR
BRANDON, FL 33511
Speech-Language Pathologist
1465 OAKFIELD DR
BRANDON, FL 33511
Occupational Therapy Assistant
1465 OAKFIELD DR
BRANDON, FL 33511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carrie Jacka's NPI number?

The NPI number for Carrie Jacka is 1356078075. It was assigned to this individual provider in the NPPES registry on August 3, 2022.

Where is Carrie Jacka located?

Carrie Jacka practices at 1465 Oakfield Dr, Brandon, FL 33511. The listed phone number is (509) 847-8847.

What is Carrie Jacka's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Carrie Jacka enrolled in Medicare?

Yes. Carrie Jacka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carrie Jacka was last updated on August 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.