Jordan Simusa
NPI 1790305951ActiveIndividual· Speech-Language Pathologist· Saint Augustine, FL
Speech-Language Pathologist in Saint Augustine, Florida, licensed in FL, with an NPI issued in April 2020. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1790305951 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 17, 2020 |
| Last updated in NPPES | Apr 17, 2020 |
| Certified by provider | Apr 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SA17873 | 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 (MN) |
|---|
Other Speech-Language Pathologist providers in Saint Augustine
- 1568185742
- 1265942882
- 1144043738
- 1063226090
- 1902700370
- 1942450523
- 1023365210
- 1255861548
- 1215461447
- 1477059236
- 1457174047
- 1770257594