Regina L. Jolly, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

871 Issued in TN

Practice address

3180 Professional PLZ
101
Germantown, TN 38138-7915

Phone

(901) 755-3211

NPI assigned

Jul 17, 2008

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1366606303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 RIVER PARK CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381393357",
            "telephone_number": "901-755-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 PROFESSIONAL PLZ",
            "address_2": "101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387915",
            "telephone_number": "901-755-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "REGINA",
        "middle_name": "L.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Jackson Johnson, M.D.
• Tucker D Johnson, PHD
• Victoria May Johnson, NP-C
• Wesley Johnson Jr., PTA
• Gina A Johnston, MD
• Jones Eyecare, PLLC
• Jones Vision Care, LLC
• Austin Edward Jones, L.C.S.W
• Chera Jones
• Chereathia Charmaine Jones, SPEECH LANGUAGE PATH

• Speech-Language Pathologist in Germantown, TN
• Providers in Germantown, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.