Jennifer Kroohs Smith, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5604 Issued in NC

Practice address

107 Thensia CT
Cary, NC 27513-4251

Phone

(919) 280-3639

NPI assigned

Jan 27, 2008

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1201392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201392000000",
    "number": "1669659157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 THENSIA CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134251",
            "telephone_number": "919-280-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 THENSIA CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134251",
            "telephone_number": "919-280-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "KROOHS",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-27",
        "last_updated": "2008-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollie Ryals Smith
• Jacob Thomas Smith, D.D.S.
• Jacqueline Smith
• Jania Smith
• Jason D. Smith, M.ED., LCMHCA
• Julia Marie Smith, LCSW
• Karen K Smith, DPT
• Kelly Lorriane Smith, FNP-BC
• Kristen Smith, LCMHC
• Kristy K Smith, M.S.W.

• Speech-Language Pathologist in Cary, NC
• Providers in Cary, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2008; 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.