Katie Alyssa Jenkins

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PCET002847 Issued in GA

Practice address

2704 N Oak St BLDG A2
Valdosta, GA 31602-5900

Phone

(229) 253-1009

Fax

(229) 253-1039

NPI assigned

Oct 3, 2019

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

Enrolled in GA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Sutherland Physical Therapy, Inc.

  • Pediatric Physical Therapist
  • Valdosta, GA
  • NPI 1689730319
  Medicare reassignment NPD
• Speech and Swallowing Solutions, LLC

  • Speech-Language Pathologist
  • Valdosta, GA
  • NPI 1346598083
  NPD
• Speech and Swallowing Solutions, LLC

  • Speech-Language Pathologist
  • Valdosta, GA
  • NPI 1720526791
  NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1114568847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST BLDG A2",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316025900",
            "telephone_number": "229-253-1009",
            "fax_number": "229-253-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST BLDG A2",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316025900",
            "telephone_number": "229-253-1009",
            "fax_number": "229-253-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KATIE",
        "middle_name": "ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET002847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelissa James
• Janice H Loeffler MD PC
• Alyssa Jasmine-Mize
• Jason L Griner LCSW PC
• Rachael N. Jefferson, NP-C
• Ronnie Neil Jenkins Jr., D.M.D.
• Jeri L Sheffield, D.O., P.C.
• James David Jernigan Jr.
• Samantha Jernigan, MT, NMT
• Jessica D Wheeler LMFT Inc

• Speech-Language Pathologist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.