Jenna Marie Harsell, MS CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146008926 Issued in IL

Practice address

3801 Meadow Dr
Quincy, IL 62305-5941

Phone

(217) 316-6683

NPI assigned

Jun 17, 2008

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 names 1

• Jenna Marie Buckner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1154581767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24803 STATE HIGHWAY Z",
            "city": "EWING",
            "state": "MO",
            "postal_code": "634402142",
            "telephone_number": "573-822-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MEADOW DR",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055941",
            "telephone_number": "217-316-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSELL",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "MS CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "BUCKNER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon G. Harris, M.D.
• Krystal Harrison
• Matthew Bret Harrison, D.O.
• Sharon L Harrison, R.D.
• Harry R. Ruth, M.D.,P.C.
• Michael Anthony Hart, DO
• Lauren Hartley, LPC
• Jennifer Lynn Harvey, DT
• Amy Hasting, LCPC
• Victor Herbert Hatcher Jr., MD

• Speech-Language Pathologist in Quincy, IL
• Providers in Quincy, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.