Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jane Katherine Autenrieth , MA CCC-SLP

Speech-Language Pathologist β€’ Melbourne, FL

Active NPI 1720171010 Individual Practitioner Female Practitioner
Practice location in NPPES

2080 W Eau Gallie Blvd Ste A
Melbourne, FL 329353185

Call 4076943603 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

2080 W Eau Gallie Blvd Ste A

Melbourne, FL 329353185

Telephone 4076943603
Fax 3212967130
Organization at the Same NPPES Address or Phone
Speech Innovations Of Central Florida Llc Facility NPI 1982268173

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Oviedo, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2006

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 Melbourne and Florida

129 active clinicians are listed under Speech-Language Pathologist with a practice address in Melbourne, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Melbourne

0.8% of these 129 clinicians have the CMS telehealth indicator.

3.1% of these 129 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: 2024-10-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL 8803

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.

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
889892800 (FL)

Secondary Practice Locations

253 Plaza Dr Ste C

Oviedo, FL 327656460

Phone: 4076943603

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Abigail Bair

Physical Therapist

NPI 1235849746

Career & Practice History Timeline

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

16 Historical Events
πŸ“
Updated Practice Location October 11, 2024

Registered at 2080 W EAU GALLIE BLVD STE A, MELBOURNE, FL 329353185 (Tel: 4076943603)

πŸ“
Updated Business Mailing Address October 11, 2024

Registered at 2080 W EAU GALLIE BLVD STE A, MELBOURNE, FL 329353185 (Tel: 4076943603)

πŸ“
Updated Practice Location October 04, 2023

Registered at 2080 W EAU GALLIE BLVD, MELBOURNE, FL 329353152 (Tel: 4076943603)

πŸ“
Updated Business Mailing Address October 04, 2023

Registered at 2080 W EAU GALLIE BLVD, MELBOURNE, FL 329353152 (Tel: 4076943603)

πŸ“
Updated Practice Location January 31, 2022

Registered at 253 PLAZA DR STE C, OVIEDO, FL 327656460 (Tel: 4076943603)

πŸ“
Updated Business Mailing Address January 31, 2022

Registered at 253 PLAZA DR STE C, OVIEDO, FL 327656460 (Tel: 4076943603)

πŸ“
Updated Practice Location December 12, 2018

Registered at 251 PLAZA DR STE C, OVIEDO, FL 327656461 (Tel: 4076943603)

πŸ“
Updated Business Mailing Address December 12, 2018

Registered at 251 PLAZA DR STE C, OVIEDO, FL 327656461 (Tel: 4076943603)

πŸ‘€
Provider Name / Credentials Updated December 12, 2018

Recorded as JANE AUTENRIETH, MA CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2018

Speech-Language Pathologist (license number reported to NPPES: FL 8803)

βœ…
NPI Profile Active April 26, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 26, 2013

Registered at 1525 S ALAFAYA TRL, SUITE 101, ORLANDO, FL 328288926 (Tel: 4073842767)

πŸ“
Business Mailing Address (Initial Record) April 26, 2013

Registered at PO BOX 621212, OVLEDO, FL 32762 (Tel: 4073595693)

πŸ‘€
Provider Name / Credentials (Initial Record) April 26, 2013

Recorded as JANE AUTENNETH, MA CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2013

Speech-Language Pathologist (license number reported to NPPES: FL SZ3786)

🟒
Initial NPI Registration & Enumeration October 01, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1720171010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2006
Last Update: October 11, 2024
Sole Proprietor: Yes

Other Speech-Language Pathologists in Melbourne

Healthcare providers in Melbourne

Mailing Address

2080 W Eau Gallie Blvd Ste A

Melbourne, FL 329353185

Phone: 4076943603

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.