Active NPI
Angela Sue Jensen, MS/CCC-SLP/L
- Speech-Language Pathologist
- Dunn, NC
National Provider Identifier
1285354530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13142
- Practice address
- 604 Lucas Rd
Dunn, NC 28334-6623 - Phone
- (910) 891-4600
- NPI assigned
- Aug 29, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13142 | NC | Primary |
Addresses
Primary practice location
604 Lucas Rd
Dunn, NC 28334-6623
Mailing address
429 Spruce Meadows LN
Willow Spring, NC 27592-8306
Phone (181) 526-0067
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13142 | NC | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1285354530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 SPRUCE MEADOWS LN",
"city": "WILLOW SPRING",
"state": "NC",
"postal_code": "275928306",
"telephone_number": "181-526-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 LUCAS RD",
"city": "DUNN",
"state": "NC",
"postal_code": "283346623",
"telephone_number": "910-891-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "ANGELA",
"middle_name": "SUE",
"credential": "MS/CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "13142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunn, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.