Active NPI
Jennifer Lynn Dolan, MS, CCC-SLP
- Speech-Language Pathologist
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41946
- Practice address
- 71780 San Jacinto Dr Ste F2
Rancho Mirage, CA 92270-5518 - Phone
- (442) 933-9152
- Fax
- (207) 662-3185
- NPI assigned
- Apr 23, 2009
- Last updated
- Sep 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP4369 | ME | |
| Speech-Language Pathologist | 235Z00000X | 41946 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | SA9881 | FL |
Addresses
Primary practice location
71780 San Jacinto Dr Ste F2
Rancho Mirage, CA 92270-5518
Mailing address
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4892
Other practice location 1
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4892
Other practice location 2
9040 Jackson Avenue Jblm Cares
Tacoma, WA 98431-3009
Phone (253) 968-7915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA9881 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
2036 NE Williamson Ct
Bend, OR 97701
Phone (541) 318-4249
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
Organizations & group practices 3
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.
-
dba St. Charles Medical Group
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
dba The Center at St. Charles Medical Equipment
- Specialist
- Bend, OR
- NPI 1700697935
-
dba St. Charles Medical Supply - Redmond
- Oxygen Equipment & Supplies (DME)
- Redmond, OR
- NPI 1427140870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1558505446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023134",
"telephone_number": "207-662-4892",
"fax_number": "207-662-3185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71780 SAN JACINTO DR STE F2",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922705518",
"telephone_number": "442-933-9152",
"fax_number": "207-662-3185"
}
],
"practiceLocations": [
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-662-4892",
"fax_number": "207-662-3185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9040 Jackson Avenue Jblm Cares",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984313009",
"country_code": "US",
"telephone_number": "253-968-7915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOLAN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-23",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP4369",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "41946",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA9881",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.