Jennifer Jennings Manley, M.S. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19593 Issued in TX

Practice address

10700 Rolater Rd
Frisco, TX 75035-2972

Phone

(972) 712-8652

NPI assigned

Aug 16, 2018

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

Other identifiers 1

Other names 1

• Jennifer Lynn Jennings Former name

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1407336696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 SWEET IRON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344934",
            "telephone_number": "972-839-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 ROLATER RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750352972",
            "telephone_number": "972-712-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "JENNIFER",
        "middle_name": "JENNINGS",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "19593",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JENNINGS",
            "middle_name": "LYNN",
            "credential": "M.S. CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Baneen Fatima Manekia, RN, MSN, AGACNP-BC
• Rene Anthony Maney
• Caroline Elise Manfredi, OTR/L
• Caleb Mangum
• Katherine Belle Mankin
• James Mann
• Isha Mannering, MD
• Susan Manning
• Travis Dewayne Manning, R.PH.
• Urooj Mansoor, MD

• Speech-Language Pathologist in Frisco, TX
• Providers in Frisco, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.