Jenna Ann-Vierk Slager, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101006537 Issued in MI

Practice address

354 Otter Run Rd
Holly, MI 48442-1582

Phone

(810) 834-2145

NPI assigned

Sep 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Level Eleven Howell, LLC

  • Clinic/Center
  • Howell, MI
  • NPI 1376321174
  NPD
• Level Eleven Saginaw, LLC

  • Rehabilitation Clinic/Center
  • Saginaw, MI
  • NPI 1164201679
  NPD (past)

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1114409240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 OTTER RUN RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421582",
            "telephone_number": "810-834-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 OTTER RUN RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421582",
            "telephone_number": "810-834-2145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 N Caledonia Dr",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488678844",
            "country_code": "US",
            "telephone_number": "989-743-3491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 N Drake Rd",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490061978",
            "country_code": "US",
            "telephone_number": "810-834-2145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAGER",
        "first_name": "JENNA",
        "middle_name": "ANN-VIERK",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005873",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101006537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101006537",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101005873",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Yvette Schumann, RD
• Nancy Sebring-Cale
• Amy Christine Selby, PT
• Courtney Taylor Serra, PHARD
• Brian Sheridan
• Brynn Soler
• Jeffrey Mark Sonenshein, D.O.
• Marie Sorgen
• Soulful Healing, LLC
• Olivia Steele, PT, DPT, AT, ATC

• Speech-Language Pathologist in Holly, MI
• Providers in Holly, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.