FAME SPEECH AND MYO
NPI 1619622859
Speech-Language Pathologist in Jacksonville, FL

Q: What is Fame Speech And Myo's NPI number?

The NPI number for Fame Speech And Myo is 1619622859. It was assigned to this organization in the NPPES registry on February 16, 2022.

Q: What is Fame Speech And Myo's specialty?

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

Active since February 16, 2022

13490 GRAN BAY PKWY APT 732, JACKSONVILLE, FL 32258(717) 875-0962 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 4, 2022, Feb 16, 2022 (2 updates tracked since 2022).

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About Fame Speech And Myo NPPES

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

FAME SPEECH AND MYO (NPI 1619622859) is a healthcare organization registered as a speech-language pathologist in Jacksonville, Florida and active in the NPI registry since February 2022. The organization lists Alexa Stubenrauch, Speech Language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1619622859

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameFAME SPEECH AND MYO

Location Address13490 GRAN BAY PKWY APT 732Jacksonville, FL 32258-7439

Mailing Address178 Vista Grande DrPonte Vedra Beach, FL 32082-1754 · (717) 875-0962

Phone(717) 875-0962

Organization SubpartNo

Authorized OfficialAlexa StubenrauchSpeech Language Pathologist · (717) 875-0962

Enumeration DateFebruary 16, 2022

Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2022

✔ NPI 1619622859 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.

13490 GRAN BAY PKWY APT 732, Jacksonville, FL 32258

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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

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 Fame Speech And Myo's NPI number?

The NPI number for Fame Speech And Myo is 1619622859. It was assigned to this organization in the NPPES registry on February 16, 2022.

Where is Fame Speech And Myo located?

Fame Speech And Myo is located at 13490 Gran Bay Pkwy Apt 732, Jacksonville, FL 32258. The listed phone number is (717) 875-0962.

What is Fame Speech And Myo'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 Fame Speech And Myo was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.