Individual provider Active NPI

Jennifer Diemart, M.A.

  • Speech-Language Pathologist
  • Twentynine Palms, CA
National Provider Identifier
1043484850
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16637 Issued in CA
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

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 16 clinicians

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

LicenseStateTypeSpecialty
16637CAMDProfessional Counselor
2806KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
H.D.P.R.G., Inc Speech-Language Pathologist CurrentSince Aug 30, 2011 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.

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.

Verify at the official NPI Registry.