Individual provider Active NPI

Jennifer Egeland

  • Speech-Language Pathologist
  • Brownsboro, AL
National Provider Identifier
1306383815
Registry record updated Jan 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3650 Issued in AL
Practice address
2401 Preston Ridge Dr SE
Brownsboro, AL 35741-9103
Phone
(256) 226-0145
NPI assigned
Jan 22, 2017
Last updated
Jan 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3650 AL Primary

Addresses

Primary practice location

2401 Preston Ridge Dr SE
Brownsboro, AL 35741-9103

Mailing address

2401 Preston Ridge Dr SE
Brownsboro, AL 35741-9103
Phone (256) 226-0145

Other names 1

  • Miss Jennifer Leighton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909001207 AL Practitioner - Qualified Speech Language Pathologist 0840527420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Achievements, LLCGroup PAC ID 5991865172, 13 clinicians

Practice addresses (Care Compare)

802 Shoney Dr SW
Suite C
Huntsville, AL 35801-5435
Phone (256) 509-4398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3650ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Achievements, LLC Speech-Language Pathologist CurrentSince Jun 3, 2020 Accepting new patients

Locations

3601 Cci Dr NW
Ste 270
Huntsville, AL 35805
Phone (256) 509-4398

802 Shoney Dr SW
Ste C
Huntsville, AL 35801
Phone (256) 509-4398

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485043200000",
    "number": "1306383815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PRESTON RIDGE DR SE",
            "city": "BROWNSBORO",
            "state": "AL",
            "postal_code": "357419103",
            "telephone_number": "256-226-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PRESTON RIDGE DR SE",
            "city": "BROWNSBORO",
            "state": "AL",
            "postal_code": "357419103",
            "telephone_number": "256-226-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGELAND",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-22",
        "last_updated": "2017-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LEIGHTON",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brownsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.