Jenna Beth Watnick, MS/CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8346 Issued in MA

Practice address

176 Franklin St
Lynn, MA 01904-3230

Phone

(781) 593-2727

NPI assigned

Nov 23, 2020

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 identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Aspire Developmental Services, Inc.

  • Developmental Therapist
  • Beverly, MA
  • NPI 1437996188
  NPD

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1700480415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 FRANKLIN ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019043230",
            "telephone_number": "781-593-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 FRANKLIN ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019043230",
            "telephone_number": "781-593-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATNICK",
        "first_name": "JENNA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MS/CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "8346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922174226",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19221174226",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwatnick@aspiredevelopmental.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "176 Franklin St",
            "city": "Lynn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019043230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwatnick@aspiredevelopmental.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "176 Franklin St",
            "city": "Lynn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019043230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walter L. Harrison,M.D.,Inc
• Pamela Gail Wanstall, L.C.S.W.
• Audrey Warner
• Kerry Ann Washburn, LMHC CADAC
• Beth W Wathika
• Patricia Watson, RN
• Beverly Weaver
• Elena Webber, NP
• Jennifer Lynn Webster
• Joann Webster, R.N.

• Speech-Language Pathologist in Lynn, MA
• Providers in Lynn, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.