Audrey Petersen, CCC-SLP
NPI 1336694892 · Speech-Language Pathologist · Jacksonville, FL
Audrey Petersen, CCC-SLP is a Speech-Language Pathologist provider in Jacksonville, FL (NPI 1336694892).
Provider details
- NPI number
- 1336694892
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SZ7762 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-08-24
- Last updated
- 2021-09-30
- Certified
- 2021-09-30
Frequently asked questions
- What is Audrey Petersen's NPI number?
- Audrey Petersen's National Provider Identifier (NPI) is 1336694892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Audrey Petersen's specialty?
- Audrey Petersen is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Audrey Petersen located?
- Audrey Petersen's practice location on file with NPPES is 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618.
- What is Audrey Petersen's phone number?
- The practice phone number listed in the NPPES registry for Audrey Petersen is (904) 886-3228.
- Is Audrey Petersen's NPI active?
- Yes — Audrey Petersen's NPI (1336694892) is active in the NPPES registry as of the last update on 2021-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.