Active NPI
Jennifer Robles, M.S., CCC-SLP
- Speech-Language Pathologist
- Chester, VA
National Provider Identifier
1447446661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202005325
- Practice address
- 6512 Autumn Landing CT
Chester, VA 23831-7812 - Phone
- (413) 531-5888
- NPI assigned
- Sep 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202005325 | VA | Primary |
Addresses
Primary practice location
6512 Autumn Landing CT
Chester, VA 23831-7812
Mailing address
6512 Autumn Landing CT
Chester, VA 23831-7812
Phone (413) 531-5888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202005325 | Other | VA | STATE LICENSURE |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202005325 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1447446661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6512 AUTUMN LANDING CT",
"city": "CHESTER",
"state": "VA",
"postal_code": "238317812",
"telephone_number": "413-531-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6512 AUTUMN LANDING CT",
"city": "CHESTER",
"state": "VA",
"postal_code": "238317812",
"telephone_number": "413-531-5888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "JENNIFER",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202005325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "2202005325",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.