Jennifer Matthews Burns, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Luling, LA
NPI 1487895751 · NPPES record last updated Mar 17, 2009
Key facts
- NPI
- 1487895751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5534 (LA)
- Practice address
- 422 Kellogg Ave
Luling, LA 70070-2158 - Phone
- (985) 308-0460
- NPI assigned
- Mar 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230302000347 | LA | Practitioner - Qualified Speech Language Pathologist | 0840663464 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JMB Therapy LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5534 | LA | Yes |
Addresses
Primary practice location
422 Kellogg Ave
Luling, LA 70070-2158
Mailing address
422 Kellogg Ave
Luling, LA 70070-2158
Phone (985) 308-0460
Other providers in Luling, LA
- Tyra Brimmer-Traveler
- Carrey Weeks Britsch
- Robert Ellis Brouillette
- Kimberly Brown
- Allie Buckwalter
- C & B Transit, LLC
- C&M Medical Services-St Charles LLC
- Cynthia L Caldwell
- Abigail Calico
- Bridget Marie Cameron
All providers in Luling, LA · Speech-Language Pathologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.