TINA M JACKOVICH (MA CCC/SLP-L) – Speech-Language Pathologist, NPI 1215239942

Speech-Language Pathologist

TINA M JACKOVICH (MA CCC/SLP-L) is a healthcare provider. based in The villages, Florida. specializing in Speech-Language Pathologist. They hold the professional credentials MA CCC/SLP-L. They hold a License No. 146.003781 (IL). The NPI Number for TINA M JACKOVICH (MA CCC/SLP-L) is 1215239942

Main info

Female

36 Years Of Experience

Accepts Medicare Assignment

Name

TINA M JACKOVICH (MA CCC/SLP-L)

NPI

1215239942

Phone

(630) 333-8245

Address

1983 ODEUM STREET

Enumeration Date

1 December 2010

Last Update Date

16 July 2015

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4075958962

Graduation Year

1990 (36 years ago)

PAC ID

8820411663

Group Practice PAC ID

4385984871

Professional Enrollment ID

I20200713000306

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience44

Completeness75

Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for TINA M JACKOVICH (MA CCC/SLP-L)

1983 ODEUM STREET
THE VILLAGES, FL 321627065
Phone: (630) 333-8245
Type: Mailing
1983 ODEUM ST
THE VILLAGES, FL 321623209
Phone: (630) 333-8245
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32162)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4385984871View full group profile

Name	Specialty	State
MARY ARNOLD (,PT, DPT)	Physical Therapist In Private Practice	FL
ERIN MILLER (MA, CCC/SLP)	-	FL
JEREMIAH BRADFORD (DPT)	Physical Therapist In Private Practice	FL
KELLI S WALKER (PT)	Physical Therapist In Private Practice	FL
BROOKELYN MIKIELA LEWIS (OTR/L)	-	FL
MRS. SHELLY LYN KLOSTERMAN (MS,CCC-SLP)	-	FL
BRITTNEY WEAVER	-	FL
KAYTELYNNE DUBEY	Occupational Therapist In Private Practice	FL
KARISSA THOMSON (OTD, OTR/L)	-	FL
TYLER MOK	Physical Therapist In Private Practice	FL

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Frequently asked questions

Does TINA M JACKOVICH (MA CCC/SLP-L) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — TINA M JACKOVICH (MA CCC/SLP-L) uses 1215239942.

Does the file indicate TINA M JACKOVICH (MA CCC/SLP-L) is practicing under active NPI?

Directory data currently reports TINA M JACKOVICH (MA CCC/SLP-L) as active.

What healthcare role does TINA M JACKOVICH (MA CCC/SLP-L) hold?

Scheduling teams often label TINA M JACKOVICH (MA CCC/SLP-L) under Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.

Where should I expect TINA M JACKOVICH (MA CCC/SLP-L) on a map?

Expect The Villages, Florida as a primary anchor for TINA M JACKOVICH (MA CCC/SLP-L) unless the record lists multiple sites.

Is the information about TINA M JACKOVICH (MA CCC/SLP-L) up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."