Jennifer Denise Prue, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58018652 Issued in NY

Practice address

70 Kukuk LN
Kingston, NY 12401-6943

Phone

(845) 336-2616

NPI assigned

Jul 15, 2009

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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 and National Provider Directory roles.

• Center for Spectrum Services

  • Developmentally Disabled Services Day Training Agency
  • Kingston, NY
  • NPI 1922251313
  NPD (past)

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624147200000",
    "number": "1649400367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PEARL ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015201",
            "telephone_number": "914-456-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KUKUK LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016943",
            "telephone_number": "845-336-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUE",
        "first_name": "JENNIFER",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2021-06-20",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58018652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda R. Prewitt
• Christa Denell Price, LMSW
• Prime Care Physicians, P.L.L.C.
• Georgette A Pronesti, M.S.ED., CCC-SLP
• Prosthetic & Orthotic Associates, Inc.
• Ciara Crystal Puetx
• Matthew Purcell, LAC
• Sylvia M Purugganan, M.D.
• Judith Anne Putman, LMSW
• Cheryl Qamar, LCSWR

• Speech-Language Pathologist in Kingston, NY
• Providers in Kingston, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; 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.