Active NPI
Sonia Marie Jenkins, CCC-SLP
- Speech-Language Pathologist
- Bozeman, MT
National Provider Identifier
1346809175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-SP-LIC-6626
- Practice address
- 140 Droulliard Ave
Bozeman, MT 59718-3698 - Phone
- (435) 764-4941
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-SP-LIC-6626 | MT | MD | Speech-Language Pathologist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-SP-LIC-6626 | MT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
140 Droulliard Ave
Bozeman, MT 59718-3698
Mailing address
140 Droulliard Ave
Bozeman, MT 59718-3698
Phone (435) 764-4941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 5, 2019.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1346809175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 DROULLIARD AVE",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597183698",
"telephone_number": "435-764-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 DROULLIARD AVE",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597183698",
"telephone_number": "435-764-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "SONIA",
"middle_name": "MARIE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "SLP-SP-LIC-6626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.