Jenna Taurisani, MA, CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

028222-1 Issued in NY

Practice address

269 Tyrconnell Ave
Massapequa Park, NY 11762-3150

Phone

(845) 807-1594

NPI assigned

Jan 29, 2019

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

Other names 1

• Jenna Oldfield Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1316401789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 TYRCONNELL AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623150",
            "telephone_number": "845-807-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 TYRCONNELL AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623150",
            "telephone_number": "845-807-1594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Patricia Ln",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117915823",
            "country_code": "US",
            "telephone_number": "845-807-1594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAURISANI",
        "first_name": "JENNA",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028222-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "OLDFIELD",
            "credential": "MA, CCC-SLP, TSSLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Todd A Svec, RPH
• Alicia Swaby
• Julia Helene Takats, LMSW
• Michael Jonathan Tamborino, PA-C
• Frank J Tarantino, DDS
• Noreen Gorman Taylor, OTR/L
• Robert Taylor
• Ashraf Toma, M.D.
• Patricia Anne Tonello, MS, OTR
• Frank Tropeano

• Speech-Language Pathologist in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.