Active NPI
Jenna Sturges, CCC-SLP
- Speech-Language Pathologist
- Whitman, MA
National Provider Identifier
1548623374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 08085
- Practice address
- 4 Patriot LN
Whitman, MA 02382-2380 - Phone
- (406) 403-1660
- NPI assigned
- Mar 30, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 08085 | MD | Primary |
| Speech-Language Pathologist | 235Z00000X | 9727 | MA |
Addresses
Primary practice location
4 Patriot LN
Whitman, MA 02382-2380
Mailing address
4 Patriot LN
Whitman, MA 02382-2380
Phone (406) 403-1660
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9727 | MA | MD | Physical Therapy Assistant |
| 08085 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1548623374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PATRIOT LN",
"city": "WHITMAN",
"state": "MA",
"postal_code": "023822380",
"telephone_number": "406-403-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PATRIOT LN",
"city": "WHITMAN",
"state": "MA",
"postal_code": "023822380",
"telephone_number": "406-403-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURGES",
"first_name": "JENNA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08085",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "9727",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitman, MA
- Timothy Charles Smith
- Greg Louis Sorenson, MA
- South Shore Mental Health
- Stairway to Transcendence Inc
- Star Care Works LLC (Star Care Works)
- Nicole Danielle Sweeney
- Susan Katherine Swisher, LMHC LMFT
- Mary Ellen Talbot, MA
- Anthony Taylor, LMT, ACMT, SET
- The Foundational Reading & Educational Development Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.