Individual provider Active NPI

Jenna Leigh Brant, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Philadelphia, PA
National Provider Identifier
1487191771
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL013470 Issued in PA
Practice address
8580 Verree Rd
Philadelphia, PA 19111-1370
Phone
(215) 214-2800
NPI assigned
Jan 24, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 SLP009292 GA
Speech-Language Pathologist 235Z00000X SL013470 PA Primary

Addresses

Primary practice location

8580 Verree Rd
Philadelphia, PA 19111-1370

Mailing address

4312 Main St Apt 207
Philadelphia, PA 19127-1530
Phone (814) 715-1058

Other practice location 1

3645 Marketplace Blvd
Suite 130-12
East Point, GA 30344-5747
Phone (770) 742-8742

Other practice location 2

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 444-6350

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

LicenseStateTypeSpecialty
SLP009292GAMDSpeech-Language Pathologist
SL013470PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear to Speak 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, 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": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487191771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 MAIN ST APT 207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271530",
            "telephone_number": "814-715-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 VERREE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191111370",
            "telephone_number": "215-214-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3645 Marketplace Blvd",
            "address_2": "Suite 130-12",
            "address_purpose": "LOCATION",
            "city": "East Point",
            "state": "GA",
            "postal_code": "303445747",
            "country_code": "US",
            "telephone_number": "770-742-8742",
            "fax_number": "866-381-1896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E State St",
            "address_purpose": "LOCATION",
            "city": "Kennett Square",
            "state": "PA",
            "postal_code": "193483109",
            "country_code": "US",
            "telephone_number": "610-444-6350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANT",
        "first_name": "JENNA",
        "middle_name": "LEIGH",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009292",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.