Jatinique Kyremanteng, M.A.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP200001465 Issued in DC

Practice address

2600 Douglass Rd SE
Washington, DC 20020-6504

Phone

(202) 678-7735

NPI assigned

Aug 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jatinique Lucas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Body Mechanix and Beyond LLC

  • Physical Therapist
  • Annandale, VA
  • NPI 1699396317
  NPD (past)

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1699322610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DOUGLASS RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206504",
            "telephone_number": "202-678-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DOUGLASS RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206504",
            "telephone_number": "202-678-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYREMANTENG",
        "first_name": "JATINIQUE",
        "name_prefix": "Mrs.",
        "credential": "M.A.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010019",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP200001465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JATINIQUE",
            "last_name": "LUCAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tun Aung Kyaw
• Stephen Amoateng Kyei
• Sharell Kenyetta Kyle
• Stephanie Roseanne Kyle
• Rochelle Kyler
• Georgios Kyriakopoulos, MD, PHD
• Kyriaki Kyriakou
• Constantine Demetrius Kyropoulos, MD
• Julie Kyungu Kabange
• L & R Divine Care, LLC

• Speech-Language Pathologist in Washington, DC
• Providers in Washington, DC by specialty
• Speech-Language Pathologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.