Jessica Boberg Harris, CCC-SLP
NPI 1245486182ActiveIndividual· Specialist/Technologist· St Augustine, FL
Specialist/Technologist (CCC-SLP) in St Augustine, Florida, licensed in FL, with an NPI issued in August 2008. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1245486182 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CCC-SLP |
| Sole proprietor | Yes |
| NPI issued | Aug 12, 2008 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist Primary | 225500000X | SA7351 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (FL) |
|---|