Jennifer Renee McKillop, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

105 Burgess Dr
Zelienople, PA 16063-1597

Phone

(724) 452-3580

Fax

(724) 452-3407

NPI assigned

Mar 18, 2019

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

Other names 1

• Jennifer Renee Bucci Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1699234765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S BENBROOK RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011752",
            "telephone_number": "724-504-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BURGESS DR",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160631597",
            "telephone_number": "724-452-3580",
            "fax_number": "724-452-3407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Technology Dr",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160011785",
            "country_code": "US",
            "telephone_number": "724-431-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKILLOP",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BUCCI",
            "middle_name": "RENEE",
            "credential": "M.S. CF-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsea Martz, LPC
• Janice Matteo, MA
• Carlos Mayer-Costa, M.D.
• Valerie Lynn McGoogan, RN
• Karissa McIltrot
• Victoria McWilliams, DOULA
• Emilie Mendala-Mathew, M.S.ED.
• Jasmine Nicole Adrienne Menzl, LSW
• Morgan Erin Might
• Lori Ann Miller

• Speech-Language Pathologist in Zelienople, PA
• Providers in Zelienople, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.