Active NPI
Jeri Jennings
- Speech-Language Pathologist
- Brentwood, TN
National Provider Identifier
1003503772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 089437385
- Practice address
- 9809 Albemarle LN
Brentwood, TN 37027-3717 - Phone
- (731) 225-0378
- NPI assigned
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 089437385 | TN | Primary |
Addresses
Primary practice location
9809 Albemarle LN
Brentwood, TN 37027-3717
Mailing address
9809 Albemarle LN
Brentwood, TN 37027-3717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1522 Wilson Pike
Brentwood, TN 37027-8196
Phone (615) 270-4704
960 S Charles G Seivers Blvd
Clinton, TN 37716-3882
Phone (865) 270-3178
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4134 | TN | MD | Registered Dietitian |
| 089437385 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Clinton, TN
- NPI 1376073262
Speech-Language Pathologist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1003503772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9809 ALBEMARLE LN",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370273717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9809 ALBEMARLE LN",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370273717",
"telephone_number": "731-225-0378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "JERI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-21",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "089437385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.