Individual provider Active NPI

Jensen Kate Rodenheiser, CCC-SLP, CDP

  • Speech-Language Pathologist
  • Nashville, TN
National Provider Identifier
1730960543
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8530 Issued in TN
Practice address
4206 Stammer PL
Nashville, TN 37215-3302
Phone
(615) 527-5149
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 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 8530 TN Primary

Addresses

Primary practice location

4206 Stammer PL
Nashville, TN 37215-3302

Mailing address

605 Press PL Apt 363
Nashville, TN 37208-2083
Phone (845) 238-9334

Other practice location 1

34 White Bridge Pike
Nashville, TN 37205-1473
Phone (615) 353-6181

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8530TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1730960543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PRESS PL APT 363",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082083",
            "telephone_number": "845-238-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 STAMMER PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153302",
            "telephone_number": "615-527-5149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 White Bridge Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372051473",
            "country_code": "US",
            "telephone_number": "615-353-6181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODENHEISER",
        "first_name": "JENSEN",
        "middle_name": "KATE",
        "credential": "CCC-SLP, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "8530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.