Jennifer Denise Free, M.ED. CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005653 Issued in VA

Practice address

6920 Braddock Road
Suite B618
Annandale, VA 22003

Phone

(703) 910-3321

Fax

(703) 663-7134

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jennifer Denise Bragg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• Communikids LLC

  • Hearing and Speech Clinic/Center
  • Annandale, VA
  • NPI 1699296327
  NPD Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134179757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 BRADDOCK ROAD",
            "address_2": "SUITE B618",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-910-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 BRADDOCK ROAD",
            "address_2": "SUITE B618",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-910-3321",
            "fax_number": "703-663-7134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CMR 445 Box 796",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "09046",
            "country_code": "US",
            "telephone_number": "07031152697",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "FREE",
        "first_name": "JENNIFER",
        "middle_name": "DENISE",
        "credential": "M.ED. CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2202005653",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION",
            "identifier": "09141803",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRAGG",
            "middle_name": "DENISE",
            "credential": "M.ED. CCC-SLP/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Paul Forest, DDS DC
• Foundation Fitness of Annandale
• Foundation Fitness of Annandale (Foundation Fitness)
• Annemarie C Francis, ATC
• Molly Franzonello, CNM
• Alexis Freedman
• Gail J Freeman, WHNP
• James H French Jr., MD
• Edward M Friedler, M.D.
• Friends Health Care Team, Inc.

• Speech-Language Pathologist in Annandale, VA
• Providers in Annandale, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.