Katelyn Jenny

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.14251 Issued in OH

Practice address

1419 Grace St
Mansfield, OH 44905-2742

Phone

(419) 522-0471

NPI assigned

Aug 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1477100840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 ISLAND CREEK DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566792",
            "telephone_number": "419-564-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 GRACE ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052742",
            "telephone_number": "419-522-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1262 Eastview Dr",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449051632",
            "country_code": "US",
            "telephone_number": "419-589-7335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNY",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20191187-SP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Jasinski, RN, NP-C
• Rahul Jaswaney
• Brendan Tamar Jefferson
• Jazmin Jenkins
• Matthew Dale Jennings, DC
• Becky Jensen, FNP
• Rachel Jensen
• Mackenzie Jergens
• Amy L. Jerger, R.N.
• Joshua M Jewell

• Speech-Language Pathologist in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.