Jennifer Bass Oldham, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6910 Issued in NC

Practice address

4104 Lambeth Dr
Raleigh, NC 27609-5800

Phone

(919) 781-5728

Fax

(919) 781-5744

NPI assigned

Jun 17, 2008

Last updated

Aug 11, 2009By 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

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.

• Jennifer Oldham LLC

  • Speech-Language Pathologist
  • Cary, NC
  • NPI 1134931652
  NPD Authorized official
• Oldham Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Cary, NC
  • NPI 1912703364
  NPD Authorized official

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1295995801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 LAMBETH DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095800",
            "telephone_number": "919-781-5728",
            "fax_number": "919-781-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 LAMBETH DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095800",
            "telephone_number": "919-781-5728",
            "fax_number": "919-781-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "JENNIFER",
        "middle_name": "BASS",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oludamilola Abidemi Olajide, M.D.
• Bukola Olaleye, LCSW,LCASA
• John P Olarte, MD
• Baliqis Olawale-Moore, LCSWA
• Maura Elizabeth Olcese, MD
• Nicholas Edwin Oleson
• Kimberlyn Oliva
• Olive Branch Behavioral Health LLC
• Greice Oliveira, D.D.S., M.S.
• Oliver Enterprise LLC

• Speech-Language Pathologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.