Susan Lee Jennings

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7608 Narrow Pass St
Live Oak, TX 78233-3019

Phone

(210) 714-3545

NPI assigned

Apr 16, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Tandem Therapy Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1215056478
  NPD (past)
• Tandem Therapy Services

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1356724652
  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1699338533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROMENADE BLVD APT 2124",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072864",
            "telephone_number": "702-830-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7608 NARROW PASS ST",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333019",
            "telephone_number": "210-714-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acacia Deal Jaimez, LPC
• Maya Jasser
• Hannah Rae Jeanise, LMSW
• Kaelyn Jeffreys
• Patricia G. Jeffreys, M.D.
• Jesse Moss Jr Mdpa
• Rene Rios Jimenez, LMSW
• John R Chance MD PA
• Natacha Yvette Johnson-Glover
• Shirhonda Johnson, OT

• Behavior Technician in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.