Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carrie Jacka

Individual provider Speech-Language Pathologist · NPI 1356078075

Carrie Jacka is a Qualified Speech Language Pathologist in Brandon, Florida. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

1465 Oakfield Dr
Brandon, FL 33511-4854
Phone: (509) 847-8847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (FL)

Record details

NPI number1356078075
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2022
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022
Mailing address9513 Delaney Creek Blvd Apt 201, Tampa, FL 33619-5181

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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