Jenna Danielle Scott, CEP

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

305 E Newark Rd
Lapeer, MI 48446-9408

Phone

(248) 904-5754

NPI assigned

Apr 13, 2022

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

Other names 1

• Jenna Danielle Mallard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1104568740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E NEWARK RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484469408",
            "telephone_number": "248-904-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E NEWARK RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484469408",
            "telephone_number": "248-904-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JENNA",
        "middle_name": "DANIELLE",
        "credential": "CEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "MALLARD",
            "middle_name": "DANIELLE",
            "credential": "CEP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin Schultz
• Charlene Schumacher
• Monica Lynne Schwartz
• Dawn Schweihofer
• Serena Schweitzer
• Terri Ann Scott, PH.D.
• Kyle Seacat
• Lori Margaret Sears, BSWLL
• Selimul Haque MD PC
• Sophia Seneker, PA-C

• Clinical Exercise Physiologist in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Clinical Exercise Physiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.