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Deactivated NPI 1053475574 Deactivated / Inactive NPI Female Practitioner

Jodi Nesi

Speech-Language Pathologist • Orange Park, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jodi Nesi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 20, 2006
NPI Deactivation Date August 02, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Jodi Nesi was a registered Speech-Language Pathologist practicing in Orange Park, FL. Throughout an active medical career spanning 11 years, Jodi Nesi provided care at the practice location at 1555 KINGSLEY AVE until profile deactivation on 2017-08-02.

Practice Location & Contact Primary Location

Practice Address

1555 Kingsley Ave
Ste 406

Orange Park, FL 320734560

Telephone 9042642636
Fax 9042121322
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
49 Specialists

Practicing in Orange Park, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA5713

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Abigail Moore , MS SLP-CF

Speech-Language Pathologist

NPI 1093583866

MSSLPCF

Melissa Prosser

Speech-Language Pathologist

NPI 1124744263
Dr. Kelsey Lake , DPT

Physical Therapist

NPI 1134675119

Doctor of Physical Therapy

Jennifer Wiles

Occupational Therapist

NPI 1184290421
Melissa Gillmer , CCC-SLP

Speech-Language Pathologist

NPI 1275523094

Speech-Language Pathologist (Certificate of Clinical Competence)

Jamie Toler , MOT, OTR, L

Occupational Therapist

NPI 1295901965

Master of Occupational Therapy, Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 02, 2017

Record deactivated on August 02, 2017

NPI Profile Active May 06, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 06, 2016

Registered at 1555 KINGSLEY AVE, STE 406, ORANGE PARK, FL 320734560 (Tel: 9042642636)

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Updated Business Mailing Address May 06, 2016

Registered at 1555 KINGSLEY AVE, STE 406, ORANGE PARK, FL 320734560 (Tel: 9042642636)

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Provider Name / Credentials Updated May 06, 2016

Recorded as JODI NESI

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2016

Speech-Language Pathologist (License #SA5713 in FL)

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Initial NPI Registration & Enumeration December 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053475574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2006
Last Update: May 06, 2016
Deactivation Date: August 02, 2017

Mailing Address

1555 Kingsley Ave, Ste 406

Orange Park, FL 320734560

Phone: 9042642636

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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