Individual provider Active NPI

Jennifer Lee Marshall, MA, CCC-SLP

  • Speech-Language Pathologist
  • Florence, KY
National Provider Identifier
1417453689
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
141293 Issued in KY
Practice address
7559 Thunder Ridge Dr
Florence, KY 41042-8269
Phone
(925) 918-2655
NPI assigned
Apr 5, 2018
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-10670 OH
Speech-Language Pathologist 235Z00000X 141293 KY Primary

Addresses

Primary practice location

7559 Thunder Ridge Dr
Florence, KY 41042-8269

Mailing address

838 E High St # 155
Lexington, KY 40502-2107
Phone (859) 545-2117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
141293KYMDSpeech-Language Pathologist
SP-10670OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jenny Lee LLC Past Accepting new patients
Commission for Children With Special Health Car Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1417453689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 E HIGH ST # 155",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022107",
            "telephone_number": "859-545-2117",
            "fax_number": "859-201-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7559 THUNDER RIDGE DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410428269",
            "telephone_number": "925-918-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-10670",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "141293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

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