Individual provider Active NPI

Jenna Butcher

  • Speech-Language Pathologist
  • Lancaster, PA
National Provider Identifier
1174005482
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL013790 Issued in PA
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

Updated by the provider on Aug 12, 2021

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 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

IdentifierTypeStateIssuer
SL013790OtherPASTATE 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

LicenseStateTypeSpecialty
SL013790PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Beginnings LLC Speech-Language Pathologist CurrentSince Jul 1, 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": "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.

Verify at the official NPI Registry.