Active NPI
Jennifer Diemart, M.A.
- Speech-Language Pathologist
- Twentynine Palms, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16637
- Practice address
- 5930 Adobe Rd
Twentynine Palms, CA 92277-2356 - Phone
- (760) 367-1743
- Fax
- (760) 367-1083
- NPI assigned
- Apr 14, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 16637 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | 2806 | KS |
Addresses
Primary practice location
5930 Adobe Rd
Twentynine Palms, CA 92277-2356
Mailing address
60828 Mason Dr
Joshua Tree, CA 92252-4175
Phone (760) 365-2630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090713000557 | CA | Practitioner - Qualified Speech Language Pathologist | 7911059548 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- H D P R G Inc
Practice addresses (Care Compare)
56299 29 Palms Hwy
Yucca Valley, CA 92284-2857
Phone (760) 369-1743
5930 Adobe Rd
Twentynine Palms, CA 92277-2356
Phone (760) 367-1743
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16637 | CA | MD | Professional Counselor |
| 2806 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H.D.P.R.G., Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5930 Adobe Rd
Twentynine Palms, CA 92277
Phone (760) 367-1743
56299 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 367-1743
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Twentynine Palms, CA
- NPI 1295886067
CA, Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1043484850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60828 MASON DR",
"city": "JOSHUA TREE",
"state": "CA",
"postal_code": "922524175",
"telephone_number": "760-365-2630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5930 ADOBE RD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "922772356",
"telephone_number": "760-367-1743",
"fax_number": "760-367-1083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEMART",
"first_name": "JENNIFER",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "16637",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "2806",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.