Individual provider Active NPI

Jennifer Leigh Venne, S.L.P.

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1194875203
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 12807 Issued in FL
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

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SA 12807OtherFLFL STATE LICENSE
743116830AMedicaidGA

Other names 1

  • Jennifer Leigh Muller Former name

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
SA 12807FLMDSpeech-Language Pathologist
SLP006328GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.