Vicki Ann Jensen, CCC/SLP-L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146004089 Issued in IL

Practice address

2451 E Baseline Rd
Gilbert, AZ 85234-2471

Phone

(480) 474-4173

NPI assigned

Jun 6, 2006

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Brighter Avenue LLC

  • Speech-Language Pathologist
  • Mesa, AZ
  • NPI 1467709691
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1366481269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 N HILLCREST DR",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855413320",
            "telephone_number": "928-978-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342471",
            "telephone_number": "480-474-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "VICKI",
        "middle_name": "ANN",
        "credential": "CCC/SLP-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146004089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Dell Jensen, DC
• Jaimee Anne Jensen
• Kristen Renee Jensen
• Krystie Dawn Jensen, R.PH.
• Tara Jensen
• Gregg W. Jepson, D.M.D.
• Megan Jerome, PT, DPT
• Sarah Joan Jespersen, M.S., CCC-SLP
• Tina J Jessee, AU.D.
• Eliza Jessop

• Speech-Language Pathologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.