Jessica Ashley Bonvenca
NPI 1528735628ActiveIndividual· Speech-Language Pathologist· Lake Mary, FL
Speech-Language Pathologist in Lake Mary, Florida, licensed in FL and NJ, with an NPI issued in August 2021. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1528735628 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 26, 2021 |
| Last updated in NPPES | Aug 26, 2021 |
| Certified by provider | Aug 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SA18018 | FL |
| Speech-Language Pathologist | 235Z00000X | 41YS00978300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (FL) |
|---|
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All 57 speech-language pathologists in Lake Mary · All speech-language pathologists in Florida