Active NPI
Catherine M Jenifer, M.S. CCC-SLP
- Speech-Language Pathologist
- Prince Frederick, MD
National Provider Identifier
1083186878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 08810
- Practice address
- 1450 Dares Beach Rd
Prince Frederick, MD 20678-4206 - Phone
- (410) 550-9550
- NPI assigned
- Dec 18, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 08810 | MD | Primary |
Addresses
Primary practice location
1450 Dares Beach Rd
Prince Frederick, MD 20678-4206
Mailing address
2521 Woodland Ter
Chesapeake Beach, MD 20732-4608
Phone (410) 474-0780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08810 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1083186878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 WOODLAND TER",
"city": "CHESAPEAKE BEACH",
"state": "MD",
"postal_code": "207324608",
"telephone_number": "410-474-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 DARES BEACH RD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784206",
"telephone_number": "410-550-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENIFER",
"first_name": "CATHERINE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-18",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.