Jennifer Z Mathis, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5494 Issued in NC

Practice address

5603B W Friendly Ave # 274
Greensboro, NC 27410-4213

Phone

(336) 790-0271

Fax

(336) 740-9099

NPI assigned

Feb 13, 2012

Last updated

Feb 13, 2012By 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

Credentials

Master of Arts

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1346513926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 DAY BREAK DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846354",
            "telephone_number": "336-880-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603B W FRIENDLY AVE # 274",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104213",
            "telephone_number": "336-790-0271",
            "fax_number": "336-740-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "JENNIFER",
        "middle_name": "Z",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prameela S Mathew, PHARMACIST
• Lynn Catherine Mathewes, PMHNP-BC, AGPCPNP-BC
• Ashley Nicole Mathews, M.ED, CCC-SLP
• Gregory J Mathews
• Holly Pulliam Mathis, MASTERS
• Ankit Mathur, MD
• Matrix Mending Advanced Wound Consultants & Mobile Care PLLC
• Christopher Wayne Mattern, MD
• Matters of the Heart and Mind (Back2Back Empowerment)
• Matthew W Devaney DDS @ Brassfield, PA (DeVaney Dentistry @ Brassfield)

• Speech-Language Pathologist in Greensboro, NC
• Providers in Greensboro, 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 Feb 13, 2012; 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.