Jenna Baudanza, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

021621 Issued in NY

Practice address

167 Myers Corners Rd Ste 104
Wappingers Falls, NY 12590-3870

Phone

(845) 298-2090

Fax

(845) 297-2165

NPI assigned

Jan 13, 2011

Last updated

Jan 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1023313608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 MYERS CORNERS ROAD #104",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "12590",
            "telephone_number": "845-298-2090",
            "fax_number": "845-297-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 MYERS CORNERS RD STE 104",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903870",
            "telephone_number": "845-298-2090",
            "fax_number": "845-297-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUDANZA",
        "first_name": "JENNA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reina Barrett, MSN, FNP
• Stephanie Barrett, LPN
• Timothy James Barrett, DPT
• Rosa Bates, PHARM.D.
• Colleen Battipaglia, PTA
• Miriam Bautista, M.A. OTR/L
• Lori Baxter, LCSW
• Sarah Anne Beck-Divalentino, PT,DPT
• Joanne L Bell, NP
• Megan Leigh Berger

• Speech-Language Pathologist in Wappingers Falls, NY
• Providers in Wappingers Falls, 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 Jan 12, 2012; 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.