Audrey Petersen , CCC-SLP
Speech-Language Pathologist β’ Jacksonville, FL
12276 San Jose Blvd Ste 508
Jacksonville, FL 322238618
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
12276 San Jose Blvd Ste 508
Jacksonville, FL 322238618
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Speech-Language Pathologist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2016
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Jacksonville and Florida
558 active clinicians are listed under Speech-Language Pathologist with a practice address in Jacksonville, FL (11,513 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Jacksonville
1.6% of these 558 clinicians have the CMS telehealth indicator.
4.8% of these 558 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-09-30NUCC Taxonomy Code: 235Z00000X
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.
NUCC Taxonomy Code: 235Z00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physical Therapist
Physical Therapist
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 322238618 (Tel: 9048863228)
Registered at 12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 322238618 (Tel: 9048863228)
Speech-Language Pathologist (license number reported to NPPES: FL SZ7762)
Registered at 409 E OAKLAND AVE UNIT B, OAKLAND, FL 347873070 (Tel: 4076545455)
Registered at 5631 PGA BLVD APT 1028, ORLANDO, FL 328393282 (Tel: 8507979575)
Recorded as AUDREY PETERSEN, CCC-SLP
Speech-Language Pathologist (license number reported to NPPES: FL SA15457)
NPI status registered as active in NPPES database
Registered at 409 E OAKLAND AVE, SUITE B, OAKLAND, FL 347873070 (Tel: 4076545455)
Registered at 4028 MIDDLEBROOK RD, APT 1514, ORLANDO, FL 328118507 (Tel: 8507979575)
Recorded as AUDREY PETERSEN
Speech-Language Pathologist (license number reported to NPPES: FL SZ7762)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Speech-Language Pathologists in Jacksonville
- Kathleen Mitchell-Anderson, MS ED, CCC-SLP
- Chandler Thompson, DMA, MS, CCCSLP
- Amanda Vignola, MS, CCC-SLP
- Sarah Reising, MS
- William Murdock, MS
- Sarah Montgomery, MS, CCC-SLP
Mailing Address
12276 San Jose Blvd Ste 508
Jacksonville, FL 322238618
Phone: 9048863228