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Active NPI 1245486182 Individual Practitioner Female Practitioner

Jessica Boberg Harris , CCC-SLP

Specialist/Technologist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Jessica Harris, CCC-SLP is a registered healthcare professional specializing in Specialist/Technologist in St Augustine, FL. Practice services are available at 910 S WINTERHAWK DR UNIT 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

910 S Winterhawk Dr Unit 101

St Augustine, FL 320863870

Telephone 9042177648
Fax 3526663232
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in St Augustine, FL (37 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

Specialist/Technologist Primary Specialty

NUCC Taxonomy Code: 225500000X

State License FL SA7351

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Jennifer Price

Respiratory Therapist, Registered

NPI 1346672375

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active May 17, 2017

NPI status registered as active in NPPES database

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Updated Practice Location May 17, 2017

Registered at 910 S WINTERHAWK DR UNIT 101, ST AUGUSTINE, FL 320863870 (Tel: (904) 217-7648)

📍
Updated Business Mailing Address May 17, 2017

Registered at 910 S WINTERHAWK DR UNIT 101, ST AUGUSTINE, FL 320863870 (Tel: (904) 217-7648)

👤
Provider Name / Credentials Updated May 17, 2017

Recorded as JESSICA HARRIS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2017

Specialist/Technologist (License #SA7351 in FL)

NPI Profile Active March 31, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2009

Registered at 5263 GOLDEN GATE PKWY, SUITE E, NAPLES, FL 341167601 (Tel: 2393529884)

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Updated Business Mailing Address March 31, 2009

Registered at 5263 GOLDEN GATE PKWY, SUITE E, NAPLES, FL 341167601 (Tel: 2393529884)

👤
Provider Name / Credentials Updated March 31, 2009

Recorded as JESSICA HARRIS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2009

Specialist/Technologist (License #SA7351 in FL)

🟢
Initial NPI Registration & Enumeration August 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245486182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2008
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

910 S Winterhawk Dr Unit 101

St Augustine, FL 320863870

Phone: 9042177648

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.