Jennifer Boggus Baker, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008704 Issued in GA

Practice address

2280 Highway 29 N
Newnan, GA 30265-1031

Phone

(770) 683-6833

NPI assigned

Dec 9, 2014

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

State licenses

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1366840233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 HIGHWAY 29 N",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651031",
            "telephone_number": "770-683-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 HIGHWAY 29 N",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651031",
            "telephone_number": "770-683-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JENNIFER",
        "middle_name": "BOGGUS",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Aaron Bailey, D.C.
• Julianne Baily, AGACNP-BC
• Elizabeth Anne Baker-Ahlstrom, P.A.-C
• Arthur Lynne Baker Jr., CRNA
• Benjamin Baker Jr.
• Rhonda Nicole Baker, INTERN
• Tim W Baker, M.D.
• Balance From Within Counseling Services
• Balanced Family Wellness
• Karen Kinard Balaze, M.S., O.T.R/L

• All providers in Newnan, GA
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.