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Lesley Nicole Summers , MAT, MA, CCC-SLP

Speech-Language Pathologist β€’ Jacksonville, FL

Active NPI 1710543764 Individual Practitioner Female Practitioner
Practice location in NPPES

1419 Hubbard St
Jacksonville, FL 322064533

Call 9044317276 Location details and other listings
Medical Disclaimer

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

Practice Address

1419 Hubbard St

Jacksonville, FL 322064533

Telephone 9044317276
Fax 9044560838
Organization at the Same NPPES Address or Phone
Luna Therapy Services Llc Facility NPI 1982277000

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

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Addresses are self-reported to NPPES and may be out of date.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: 2021-07-07
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA16358

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES FL SA16358

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 07, 2021

Registered at 1419 HUBBARD ST, JACKSONVILLE, FL 322064533 (Tel: 9044317276)

πŸ“
Updated Business Mailing Address July 07, 2021

Registered at 1419 HUBBARD ST, JACKSONVILLE, FL 322064533 (Tel: 9044317276)

πŸ‘€
Provider Name / Credentials Updated July 07, 2021

Recorded as LESLEY SUMMERS, MAT, MA, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2021

Pediatrics (license number reported to NPPES: FL SA16358)

βœ…
NPI Profile Active May 15, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 15, 2019

Registered at 6817 SOUTHPOINT PKWY STE 1701, JACKSONVILLE, FL 322166298 (Tel: 9192472450)

πŸ“
Business Mailing Address (Initial Record) May 15, 2019

Registered at 6817 SOUTHPOINT PKWY STE 1701, JACKSONVILLE, FL 322166298 (Tel: 9192472450)

πŸ‘€
Provider Name / Credentials (Initial Record) May 15, 2019

Recorded as LESLEY SUMMERS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2019

Speech-Language Pathologist (license number reported to NPPES: FL SA16358)

🟒
Initial NPI Registration & Enumeration May 15, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710543764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2019
Last Update: July 07, 2021
Sole Proprietor: No

Other Speech-Language Pathologists in Jacksonville

All Speech-Language Pathologists in Jacksonville

Mailing Address

1419 Hubbard St

Jacksonville, FL 322064533

Phone: 9044317276

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.