Jodi Edkins Connell, MS ED CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

008202-1 Issued in NY

Practice address

85 Shell Edge Dr
Rochester, NY 14623-4356

Phone

(585) 359-5400

NPI assigned

Jun 24, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Rush Henrietta Central School District

  • Local Education Agency (LEA)
  • Rochester, NY
  • NPI 1710279443
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1023304342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DELIA TRL",
            "city": "RUSH",
            "state": "NY",
            "postal_code": "145439437",
            "telephone_number": "585-533-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SHELL EDGE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234356",
            "telephone_number": "585-359-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "JODI",
        "middle_name": "EDKINS",
        "name_prefix": "Mrs.",
        "credential": "MS ED CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008202-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01497492",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Conley
• Rachel A Conley, MD
• Tyra Lashawn Conley
• Kevin James Conlon, RPH
• Kelsey L Conn, RD
• Maureen Connell
• Ryan Connell, MD
• Sally Connelly Katz, FNP
• Marie Isabel Connelly
• Kenneth Conner, PSYD

• Speech-Language Pathologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.