Individual provider Active NPI

Natalia Jennings, MS, CCC-SLP

  • Speech-Language Pathologist
  • Cornwall, NY
National Provider Identifier
1669968038
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
67 Willow Ave
Cornwall, NY 12518-1441
Phone
(845) 534-8009
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X PSLP CO
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

67 Willow Ave
Cornwall, NY 12518-1441

Mailing address

24 Idlewild Ave
Cornwall on Hudson, NY 12520-1134
Phone (845) 534-8009

Other practice location 1

6985 Tutt Blvd Ste 100
Colorado Springs, CO 80923-3588
Phone (719) 332-4689

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 Science

State licenses

LicenseStateTypeSpecialty
PSLPCOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornwall Central School District Speech-Language Pathologist PastSince Dec 12, 2021 Accepting new patients

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1669968038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 IDLEWILD AVE",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201134",
            "telephone_number": "845-534-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WILLOW AVE",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181441",
            "telephone_number": "845-534-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6985 Tutt Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809233588",
            "country_code": "US",
            "telephone_number": "719-332-4689",
            "fax_number": "719-282-1449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "NATALIA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.