Individual provider Active NPI

Jane Pedersen, M. ED., CCC- SLP

  • Speech-Language Pathologist
  • Waynesboro, VA
National Provider Identifier
1710626429
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204000940 Issued in VA
Practice address
520 Lew Dewitt Blvd Ste 201
Waynesboro, VA 22980-1644
Phone
(540) 451-2021
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2204000940 VA Primary

Addresses

Primary practice location

520 Lew Dewitt Blvd Ste 201
Waynesboro, VA 22980-1644

Mailing address

520 Lew Dewitt Blvd Ste 201
Waynesboro, VA 22980-1644

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 Education

State licenses

LicenseStateTypeSpecialty
2204000940VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
7 Senses Therapy Center, Inc. CurrentSince Sep 24, 2023 Accepting new patients

Locations

520 Lew Dewitt Blvd
Ste 201
Waynesboro, VA 22980
Phone (540) 451-2021

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1710626429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LEW DEWITT BLVD STE 201",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229801644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LEW DEWITT BLVD STE 201",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229801644",
            "telephone_number": "540-451-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "JANE",
        "credential": "M. ED., CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.