Jennifer Jill Lacomfora, SLP, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#665 Issued in AR

Practice address

100 Greenwood Ave
Suite D
Hot Springs, AR 71913-4427

Phone

(501) 625-7800

Fax

(501) 325-2727

NPI assigned

Apr 20, 2007

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

Other identifiers 1

Other names 1

• Jennifer Jill Bryant Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Arkansas Therapy Group, Inc.

  • Speech-Language Pathologist
  • Hot Springs, AR
  • NPI 1346384724
  NPD (past) Authorized official

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1225255136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREENWOOD AVE",
            "address_2": "SUITE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134427",
            "telephone_number": "501-625-7800",
            "fax_number": "501-325-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREENWOOD AVE",
            "address_2": "SUITE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134427",
            "telephone_number": "501-625-7800",
            "fax_number": "501-325-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOMFORA",
        "first_name": "JENNIFER",
        "middle_name": "JILL",
        "credential": "SLP, CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117821721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRYANT",
            "middle_name": "JILL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laboratory Corporation of America
• Laboratory Corporation of America
• Laboratory Corporation of America
• Joseph M. Lacava, DPM
• Amber Lacaze, RN
• Brittany Lacy, CNP
• Jacqueline P Lacy, MS, LPC
• Christine Lai, MD
• Lake Hamilton Family Chiropractic PLLC
• Lakeside Pharmacy Inc.

• All providers in Hot Springs, AR
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.