Individual provider Active NPI

Jennifer Somjai Dantanavatanawong-Barnes, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Concord, CA
National Provider Identifier
1598336166
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
20704 Issued in CA
Practice address
1440 Washington Blvd # A5
Concord, CA 94521-4098
Phone
(925) 966-2173
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 20704 CA Primary

Addresses

Primary practice location

1440 Washington Blvd # A5
Concord, CA 94521-4098

Mailing address

1440 Washington Blvd # A5
Concord, CA 94521-4098
Phone (925) 966-2173

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
20704CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sounds and Words Speech Therapy, Inc. Speech-Language Pathologist CurrentSince Apr 1, 2022 Accepting new patients

Locations

1440 Washington Blvd
#A5
Concord, CA 94521
Phone (925) 966-2173

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1598336166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 WASHINGTON BLVD # A5",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945214098",
            "telephone_number": "925-966-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 WASHINGTON BLVD # A5",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945214098",
            "telephone_number": "925-966-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTANAVATANAWONG-BARNES",
        "first_name": "JENNIFER",
        "middle_name": "SOMJAI",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "20704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.