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SPEECH PATHWAYS OF ST. JOHNS
NPI 1417617309
Speech-Language Pathologist in Jacksonville, FL

Active since December 20, 2021
12627 SAN JOSE BLVD STE 803, JACKSONVILLE, FL 32223(908) 770-5990 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Speech Pathways Of St. Johns NPPES

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

SPEECH PATHWAYS OF ST. JOHNS (NPI 1417617309) is a healthcare organization registered as a speech-language pathologist in Jacksonville, Florida and active in the NPI registry since December 2021. The organization lists Karissa Anne Gussmann, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1417617309
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameSPEECH PATHWAYS OF ST. JOHNS
Location Address12627 SAN JOSE BLVD STE 803Jacksonville, FL 32223-8644
Mailing Address609 Fort William DrSaint Johns, FL 32259-5925 · (908) 770-5990
Phone(908) 770-5990
Organization SubpartNo
Authorized OfficialKarissa Anne GussmannManager/owner · (908) 770-5990
Enumeration DateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1417617309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
12627 SAN JOSE BLVD STE 803, Jacksonville, FL 32223
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

ASHLEIGH MARIE AUBREY GOLDSTEIN M.S., CCC-SLP
Speech-Language Pathologist
12627 SAN JOSE BLVD STE 803
JACKSONVILLE, FL 32223
Duval County (904) 834-1336
KALEY PETERMAN MS, CCC-SLP
Speech-Language Pathologist
12627 SAN JOSE BLVD STE 803
JACKSONVILLE, FL 32223
Duval County (904) 460-4951
KARA MARIE OZIMKIEWICZ CCC-SLP
Speech-Language Pathologist
12627 SAN JOSE BLVD STE 803
JACKSONVILLE, FL 32223
Duval County (904) 834-1336
ELIZABETH FEROLITO
Social Worker (Clinical)
12627 SAN JOSE BLVD STE 803
JACKSONVILLE, FL 32223
Duval County (904) 512-0018

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 Speech Pathways Of St. Johns's NPI number?

The NPI number for Speech Pathways Of St. Johns is 1417617309. It was assigned to this organization in the NPPES registry on December 20, 2021.

Where is Speech Pathways Of St. Johns located?

Speech Pathways Of St. Johns is located at 12627 San Jose Blvd Ste 803, Jacksonville, FL 32223. The listed phone number is (908) 770-5990.

What is Speech Pathways Of St. Johns's specialty?

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

When was this NPI record last updated?

The NPPES record for Speech Pathways Of St. Johns was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.