Jennifer Jo Baker, MA-CCC/SLP-L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004212A Issued in IN

Practice address

1100 Allison St
Crown Point, IN 46307-7874

Phone

(219) 743-3302

Fax

(219) 661-0470

NPI assigned

Sep 23, 2014

Last updated

Aug 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Jennifer Jo Adams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Speech and Language Therapy, LLC

  • Speech-Language Pathologist
  • Crown Point, IN
  • NPI 1023469566
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1598167306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ALLISON ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077874",
            "telephone_number": "219-743-3302",
            "fax_number": "219-661-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ALLISON ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077874",
            "telephone_number": "219-743-3302",
            "fax_number": "219-661-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MA-CCC/SLP-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004212A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ADAMS",
            "middle_name": "JO",
            "prefix": "MISS",
            "credential": "MA-CCC/SLP-L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Abagail Bailey, RBT
• Lynn Bailey
• Kaitlynn Anne Bakker
• Balanced Minds LLC (Balanced Minds Psychiatry)
• James Balitewicz
• James Banks, RBT
• Felipe Baquero

• Speech-Language Pathologist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.