Jennifer Depew

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60466426 Issued in WA

Practice address

2430 N 13TH St
Shelton, WA 98584-1213

Phone

(972) 979-7565

NPI assigned

Oct 14, 2014

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

• Jennifer Cook Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1164826566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 N 13TH ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985841213",
            "telephone_number": "360-426-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 N 13TH ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985841213",
            "telephone_number": "972-979-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPEW",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60466426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carlotta Luise Maria Delacy
• Chantae Marie Delanoy
• Marcia J. Delorme
• Dilma Lizet Demartino
• Kami Rose Denison, CO 61010965
• Daniel Develde, CRNA
• Karli Marlayne Devoe, OTR/L
• Miya A Diambri-Marohl
• Jacquelyn E Dick, MA PSYCH
• Janice M Dickinson

• Speech-Language Pathologist in Shelton, WA
• Providers in Shelton, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.