Active NPI
Jennifer L Freeman, M.A. CCC-SLP
- Speech-Language Pathologist
- Bloomington, IN
National Provider Identifier
1457576365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22003846A
- Practice address
- 5517 N Union Valley Rd
Bloomington, IN 47404-9570 - Phone
- (812) 325-6142
- Fax
- (812) 876-4466
- NPI assigned
- Apr 16, 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 | 22003846A | IN | Primary |
Addresses
Primary practice location
5517 N Union Valley Rd
Bloomington, IN 47404-9570
Mailing address
5517 N Union Valley Rd
Bloomington, IN 47404-9570
Phone (812) 325-6142
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)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457576365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5517 N UNION VALLEY RD",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474049570",
"telephone_number": "812-325-6142",
"fax_number": "812-876-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5517 N UNION VALLEY RD",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474049570",
"telephone_number": "812-325-6142",
"fax_number": "812-876-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22003846A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.