Active NPI
Jennifer Leigh Venne, S.L.P.
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1194875203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 12807
- Practice address
- 4705 S Apopka Vineland Rd Ste 100
Orlando, FL 32819-3151 - Phone
- (407) 905-9300
- Fax
- (407) 905-9309
- NPI assigned
- Jan 11, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP006328 | GA | |
| Speech-Language Pathologist | 235Z00000X | SA 12807 | FL | Primary |
Addresses
Primary practice location
4705 S Apopka Vineland Rd Ste 100
Orlando, FL 32819-3151
Mailing address
13506 Summerport Village Pkwy Ste 410
Windermere, FL 34786-7366
Phone (407) 905-9300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA 12807 | Other | FL | FL STATE LICENSE |
| 743116830A | Medicaid | GA |
Other names 1
- Jennifer Leigh Muller
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 |
|---|---|---|---|
| SA 12807 | FL | MD | Speech-Language Pathologist |
| SLP006328 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon West Therapies 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
- Orlando, FL
- NPI 1144838020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1194875203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13506 SUMMERPORT VILLAGE PKWY STE 410",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347867366",
"telephone_number": "407-905-9300",
"fax_number": "407-905-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 S APOPKA VINELAND RD STE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328193151",
"telephone_number": "407-905-9300",
"fax_number": "407-905-9309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENNE",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"credential": "S.L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP006328",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 12807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL STATE LICENSE",
"identifier": "SA 12807",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "743116830A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MULLER",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.