Individual provider Active NPI

Penny S. Jennings, CF-SLP

  • Speech-Language Pathologist
  • Lacey, WA
National Provider Identifier
1124636410
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1800 7 Oaks Rd SE
Lacey, WA 98503-7300
Phone
(360) 412-4700
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

1800 7 Oaks Rd SE
Lacey, WA 98503-7300

Mailing address

4710 18TH Ave SE
Lacey, WA 98503-2650
Phone (360) 459-1823

Other practice location 1

305 College St NE
Lacey, WA 98516-5390
Phone (360) 412-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address psj259@nthurston.k12.wa.us North Thurston School District

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Speech Speech-Language Pathologist CurrentSince Jul 17, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1124636410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 18TH AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032650",
            "telephone_number": "360-459-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 7 OAKS RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037300",
            "telephone_number": "360-412-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 College St NE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985165390",
            "country_code": "US",
            "telephone_number": "360-412-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "PENNY",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psj259@nthurston.k12.wa.us",
            "affiliation": "Y",
            "affiliationName": "North Thurston School District",
            "address_1": "305 College St NE",
            "city": "Lacey",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985165390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.