Active NPI
Jenna Butcher
- Speech-Language Pathologist
- Lancaster, PA
National Provider Identifier
1174005482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL013790
- Practice address
- 625 Community Way
Lancaster, PA 17603-2301 - Phone
- (717) 393-0425
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL013790 | PA | Primary |
Addresses
Primary practice location
625 Community Way
Lancaster, PA 17603-2301
Mailing address
331 Cobblestone LN
Lancaster, PA 17601-3348
Phone (717) 557-1339
Other practice location 1
1021 Springboard Dr
Hershey, PA 17033-8820
Phone (717) 583-5102
Other practice location 2
425 Waverly Woods Dr
Harrisburg, PA 17110-3998
Phone (717) 559-5452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SL013790 | Other | PA | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL013790 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communication Beginnings LLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Harrisburg, PA
- NPI 1003487315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1174005482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 COBBLESTONE LN",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176013348",
"telephone_number": "717-557-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 COMMUNITY WAY",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032301",
"telephone_number": "717-393-0425"
}
],
"practiceLocations": [
{
"address_1": "1021 Springboard Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170338820",
"country_code": "US",
"telephone_number": "717-583-5102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "425 Waverly Woods Dr",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171103998",
"country_code": "US",
"telephone_number": "717-559-5452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTCHER",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL013790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SL013790",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.