Jennifer Ann Kennedy, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL008504 Issued in PA

Practice address

20 Michelle Dr
Hunlock Creek, PA 18621-2926

Phone

(570) 262-6850

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Support Services for Infants and Toddlers, P.C.

  • Occupational Therapist
  • Hunlock Creek, PA
  • NPI 1790809689

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194949404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 COUNTRY CLUB APTS",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186128922",
            "telephone_number": "570-814-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MICHELLE DR",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186212926",
            "telephone_number": "570-262-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Grevera, MS, OTR/L, RYT
• Patricia Q Herrick, PT
• Home and Mobility Solutions
• Hunlock Creek Vol Ambulance Assoc
• Jennifer Kelley, MS CCC/SLP
• Jennifer Lynn Kottler
• Lake Silkworth Ambulance
• Lake Silkworth Volunteer Ambulance Association Inc
• Brian Meeker, MPT
• Mindful Moments Pediatric Therapy & Wellness Center, LLC

• Speech-Language Pathologist in Hunlock Creek, PA
• Providers in Hunlock Creek, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.