Jenna Carll

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00572500 Issued in NJ

Practice address

18 Williams St
Barnegat, NJ 08005-2184

Phone

(609) 709-6477

NPI assigned

Jan 5, 2016

Last updated

Jan 5, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1619333770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WILLIAMS ST",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WILLIAMS ST",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052184",
            "telephone_number": "609-709-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLL",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00572500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric James Borgeson, PHARMD
• Timothy William Bruner, PT, DPT
• Nancy Buckley, LPN
• William Joseph Campagnolo, D.C.
• Albert Campana, D.C.
• Kathy S Carrabba, NP
• Sabrina Casares, PT, DPT
• Cedar Bridge Pediatrics
• Gregory James Cheeseman Jr., PT, DPT
• Juliana Maria Claps, PSYD

• Speech-Language Pathologist in Barnegat, NJ
• Providers in Barnegat, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.