Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689170581 Individual Practitioner Female Practitioner

Jessica R Mabry , CCC-SLP CBIS

Speech-Language Pathologist • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Jessica Mabry, CCC-SLP CBIS is a registered healthcare professional specializing in Speech-Language Pathologist in Tampa, FL. Practice services are available at 4202 E FOWLER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4202 E Fowler Ave

Tampa, FL 33620

Telephone 8139742011
Associated Practice Facility / Clinic
🏢 University Of South Florida Facility NPI 1578601654

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
644 Specialists

Practicing in Tampa, FL (11640 Statewide)

Telehealth Adoption Rate
1.7% 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 SA10662

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
024865200 (FL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
7N67F (FL)

Practice Associates & Co-Workers

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

25 Associated Practitioners
Dr. Dekuang Zhao , DO, PhD

Student in an Organized Health Care Education/Training Program

NPI 1063162220

Doctor of Osteopathic Medicine (D.O.), Doctor of Philosophy (Ph.D.)

Melanie Rorer

Nurse Practitioner - Family

NPI 1073488789
Ashley Bowen , ARNP

Nurse Practitioner - Family

NPI 1083409304

Advanced Registered Nurse Practitioner

Logan Forgey

Nurse Anesthetist, Certified Registered

NPI 1124772272
Cooper Anderson

Student in an Organized Health Care Education/Training Program

NPI 1144859695
Bethany Theriault

Nurse Anesthetist, Certified Registered

NPI 1235750928

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 09, 2018

Registered at 4202 E FOWLER AVE, TAMPA, FL 33620 (Tel: 8139742011)

📍
Updated Business Mailing Address August 09, 2018

Registered at PO BOX 917770, ORLANDO, FL 328910001

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2018

Speech-Language Pathologist (License #SA10662 in FL)

NPI Profile Active April 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2018

Registered at 4202 E FOWLER AVE, TAMPA, FL 336208000 (Tel: 8139742011)

📍
Updated Business Mailing Address April 01, 2018

Registered at 84 DAVIS BLVD APT 603, TAMPA, FL 336063421

👤
Provider Name / Credentials Updated April 01, 2018

Recorded as JESSICA MABRY, CCC-SLP CBIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2018

Speech-Language Pathologist (License #10662 in FL)

🟢
Initial NPI Registration & Enumeration April 01, 2018

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: 1689170581
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2018
Last Update: August 09, 2018
Sole Proprietor: No

Mailing Address

Po Box 917770

Orlando, FL 328910001

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.