Active NPI
Andrea Lynn Jensen, M.S. CF-SLP
- Speech-Language Pathologist
- Laporte, PA
National Provider Identifier
1194239640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- PSL000073
- Practice address
- 918 Main Street
Laporte, PA 18626 - Phone
- (570) 946-7700
- NPI assigned
- Nov 20, 2017
- 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 | PSL000073 | PA | Primary |
Addresses
Primary practice location
918 Main Street
Laporte, PA 18626
Mailing address
317 Scott Rd
South Abington Township, PA 18411-9368
Phone (570) 240-6755
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSL000073 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1194239640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 SCOTT RD",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184119368",
"telephone_number": "570-240-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 MAIN STREET",
"city": "LAPORTE",
"state": "PA",
"postal_code": "18626",
"telephone_number": "570-946-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "ANDREA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.S. CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-20",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "PSL000073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laporte, PA
- Concern-Professional Services for Children, Youth & Families
- Luanne Cusatis, MS, CCC-SLP
- Bethany Suzanne Genevro, MSCCCSLP
- Guardian Elder Care at Laporte LLC
- Highlands Rehabilitation and Healthcare LLC
- Laporte Borough Volunteer Fire Comp
- Eric Warren Longenbach, MD
- Kasey Mastellar, PT, DPT
- Mental Health Associates of North Central PA
- North Penn Comprehensive Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.