Active NPI
Jennifer McDivitt
- Speech-Language Pathologist
- Exton, PA
National Provider Identifier
1508992835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL005458L
- Practice address
- 749 Springdale Dr
Exton, PA 19341-2829 - Phone
- (610) 524-5850
- Fax
- (610) 524-5855
- NPI assigned
- Feb 23, 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 | SL005458L | PA | Primary |
Addresses
Primary practice location
749 Springdale Dr
Exton, PA 19341-2829
Mailing address
749 Springdale Dr
Exton, PA 19341-2829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017296120001 | Medicaid | PA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cerebral Palsy Assn of CH Co Inc | Past | Accepting new patients | |
| Cerebral Palsy Association of Chester County, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- Exton, PA
- NPI 1952626814
-
- Voluntary or Charitable Agency
- Exton, PA
- NPI 1710018544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508992835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 SPRINGDALE DR",
"city": "EXTON",
"state": "PA",
"postal_code": "193412829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 SPRINGDALE DR",
"city": "EXTON",
"state": "PA",
"postal_code": "193412829",
"telephone_number": "610-524-5850",
"fax_number": "610-524-5855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDIVITT",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL005458L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1017296120001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.