Jennifer Michelle Bass

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202007003 Issued in VA

Practice address

13890 Braddock Rd
Suite 205
Centreville, VA 20121-2435

Phone

(540) 720-2261

Fax

(540) 720-5660

NPI assigned

Jun 6, 2013

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Play2Learn Therapy LLC

  • Home Health Agency
  • Alexandria, VA
  • NPI 1477258754
  NPD Authorized official
• Fleming Therapy Services, LLC

  dba Ivyrehab

  • Speech-Language Pathologist
  • Stafford, VA
  • NPI 1194925818
  NPD (past)

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1477991990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 209",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548331",
            "telephone_number": "540-720-2261",
            "fax_number": "540-720-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD",
            "address_2": "SUITE 205",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212435",
            "telephone_number": "540-720-2261",
            "fax_number": "540-720-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Reem Basit I
• Michail S Baskaron
• Gankhuleg Batsuuri
• Bawa Dentistry PLLC
• Beam Pediatric Therapy, LLC
• Willie Keith Beasley, DDS
• Behavioral Expectations LLC

• Speech-Language Pathologist in Centreville, VA
• Providers in Centreville, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.