Katie Ann Jensen, M.A./CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3002-154 Issued in WI

Practice address

540 Shepherds Dr
West Bend, WI 53090-8488

Phone

(262) 306-8450

NPI assigned

Sep 5, 2007

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 Arts

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.

• Rehab Resources Inc

  • Pediatric Physical Therapist
  • Beaver Dam, WI
  • NPI 1437129566

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1366636136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 SHEPHERDS DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530908488",
            "telephone_number": "262-306-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SHEPHERDS DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530908488",
            "telephone_number": "262-306-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "credential": "M.A./CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3002-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee Janke, P.T.
• Abby Louise Janssen, LCSW
• Kristin Suzanne Janssen, M.S. CCC-SLP
• Renee M Janusz, CSAC
• Hollister L Jefferson, M.A., SAC-IT
• Keyonta Latrise Johnson- Sims
• Bradley Zenor Johnson, DPT
• Courtney Eileen Johnson
• Jennifer Sue Johnson, LPC
• Lisa L Johnson, P.T.A.

• Speech-Language Pathologist in West Bend, WI
• Providers in West Bend, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.