Jenna R Santucci, MS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4370 Issued in OK

Practice address

3001 W Blue Starr Dr
Claremore, OK 74017

Phone

(918) 342-5432

NPI assigned

Jan 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1295066306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740172544",
            "telephone_number": "918-342-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "74017",
            "telephone_number": "918-342-5432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3180 Duboise Rd",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148509578",
            "country_code": "US",
            "telephone_number": "315-266-7770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3180 Duboise Rd",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148509578",
            "country_code": "US",
            "telephone_number": "315-266-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTUCCI",
        "first_name": "JENNA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MS SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019709",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Claremore, OK
• Providers in Claremore, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.