Jenna Pramuan, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

08526 Issued in MD

Practice address

4620 Dillon PL
Baltimore, MD 21224-5190

Phone

(570) 691-8149

NPI assigned

Apr 3, 2019

Sex

Female

Sole proprietor

No

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 Science

State licenses

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1356803878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730A WHITE TRILLIUM RD APT 102",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289946",
            "telephone_number": "570-691-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 DILLON PL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245190",
            "telephone_number": "570-691-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAMUAN",
        "first_name": "JENNA",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashwini Pradhan
• Diwakar Pradhan, M.D.
• Gustavo Pradilla, M.D.
• Katya Prakash-Haft, M.D.
• Hans Krish Prakash
• Mariah Pranger, MA, CCC-SLP
• Sandra L Praniewicz, P.T.
• Leonie Prao, MD
• Amy Elaine Prasad Eapen, AUD
• Akash B Prasad

• Speech-Language Pathologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.