Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710081344 Individual Practitioner Female Practitioner

Jennifer Reynolds , MS, CCC

Speech-Language Pathologist • Saint Augustine, FL

Professional Overview & Biography Verified Profile Summary

Jennifer Reynolds, MS, CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Saint Augustine, FL. Practice services are available at 1046 VISCAYA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1046 Viscaya Blvd

Saint Augustine, FL 320867081

Telephone 8137323169
Fax 8137323169

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Saint Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Saint Augustine, 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

CMS Verified: 2026-03-20
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA6565

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

Medicaid State Provider ID
812058700 (FL)
Medicaid State Provider ID
887091800 (FL)
Commercial Insurance / Payer ID Bc/bs Of Florida #
S2487 (FL)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 20, 2026

Registered at 1046 VISCAYA BLVD, SAINT AUGUSTINE, FL 320867081 (Tel: 8137323169)

📍
Updated Business Mailing Address March 20, 2026

Registered at 1046 VISCAYA BLVD, SAINT AUGUSTINE, FL 320867081 (Tel: 8137323169)

👤
Provider Name / Credentials Updated March 20, 2026

Recorded as JENNIFER REYNOLDS, M.S., C.C.C.

NPI Profile Active September 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2011

Registered at 602 VONDERBURG DR, #201, BRANDON, FL 335115900 (Tel: 8136531149)

📍
Updated Business Mailing Address September 12, 2011

Registered at 602 VONDERBURG DR, SUITE 201, BRANDON, FL 335115900 (Tel: 8136531149)

👤
Provider Name / Credentials Updated September 12, 2011

Recorded as JENNIFER MULLER, M.S., C.C.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2011

Speech-Language Pathologist (License #SA6565 in FL)

🟢
Initial NPI Registration & Enumeration September 12, 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: 1710081344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2006
Last Update: March 20, 2026
Sole Proprietor: No

Mailing Address

1046 Viscaya Blvd

Saint Augustine, FL 320867081

Phone: 8137323169

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.