Jeannene D Judson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.6790 Issued in OH

Practice address

1069 Klotz Rd
Bowling Green, OH 43402-4820

Phone

(419) 728-7019

Fax

(419) 728-7020

NPI assigned

Oct 21, 2009

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1245566504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 KRAMER RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 KLOTZ RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024820",
            "telephone_number": "419-728-7019",
            "fax_number": "419-728-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDSON",
        "first_name": "JEANNENE",
        "middle_name": "D",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.6790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisha Evalynn Jones
• Erika Lynn Jones, LMT
• Shaunna Lizabeth Jones, MAT, AT, ATC
• Lindsay Jordan, LCSW, LISW
• Keilani Marise Kim Judkins
• Owen Juhn
• Jump Start Primary Care and Sports Medicine, Inc
• K Mahmood M D Inc
• Kaiser Family Dentistry, Inc.
• Jeffrey Thomas Kaiser, D.D.S.

• Speech-Language Pathologist in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.