AMANDA LYNN JACOB CCC-SLP
NPI 1912480526
Speech-Language Pathologist in Sunrise, FL

Q: What is Amanda Jacob's NPI number?

The NPI number for Amanda Jacob is 1912480526. It was assigned to this individual provider in the NPPES registry on September 10, 2018.

Q: What is Amanda Jacob's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Jacob was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 10, 2018

14201 W SUNRISE BLVD STE 107, SUNRISE, FL 33323(954) 756-2818(954) 514-1126 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2020, Aug 14, 2019, Jul 22, 2019 and 1 more (4 updates tracked since 2018).

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About Amanda Lynn Jacob Ccc-slp NPPES

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

AMANDA LYNN JACOB CCC-SLP (NPI 1912480526) is an individual speech-language pathologist provider in Sunrise, Florida, licensed in Florida (SA17265) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1912480526

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameAMANDA LYNN JACOBCredential: CCC-SLP

Location Address14201 W SUNRISE BLVD STE 107Sunrise, FL 33323-3207

Mailing Address14201 W Sunrise Blvd Ste 107Sunrise, FL 33323-3207 · (954) 756-2818 · Fax (954) 514-1126

Phone(954) 756-2818

Fax(954) 514-1126

Sole ProprietorYes

Enumeration DateSeptember 10, 2018

Last NPPES UpdateAugust 11, 20204 updates tracked since enumeration

NPPES CertifiedAugust 11, 2020

✔ NPI 1912480526 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

License✔ Licensed in FL · SA17265

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.

14201 W SUNRISE BLVD STE 107, Sunrise, FL 33323

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Other Identifiers 2

Medicaid101048100FL

OtherSA17265FL · Speech Language Pathologist

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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.

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