Brooklyn Jensen, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

202430 Issued in AR

Practice address

23247 Interstate 30
Bryant, AR 72022-2571

Phone

(501) 377-9900

NPI assigned

Sep 7, 2023

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

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1093591836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 SPYGLASS DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720196800",
            "telephone_number": "501-317-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23247 INTERSTATE 30",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222571",
            "telephone_number": "501-377-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BROOKLYN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "202430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Terry James Jr., PHARMD
• Brooke Janice Jeffus, D.D.S.
• Nekashia R Jenkins
• Paul Scott Jenkins
• Thomas Driskill Jenkins, DDS
• Salexius Johnson
• Taazha Johnson
• Talayia Ja'Nelle Johnson, EDD, MSN, RN
• Tamiko Johnson, LMSW
• Toni Elizabeth Johnson

• Speech-Language Pathologist in Bryant, AR
• Providers in Bryant, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.