Jennifer Kudra, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5146 Issued in CT

Practice address

33 Lincoln Ave
Danbury, CT 06810-7963

Phone

(203) 797-9300

NPI assigned

Sep 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1760733844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LINCOLN AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107963",
            "telephone_number": "203-797-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LINCOLN AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107963",
            "telephone_number": "203-797-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDRA",
        "first_name": "JENNIFER",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020953-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "5146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alec Frank Krosser, MD
• Tricia Dwyer Krueger, APRN
• Dawid Krynicki, MD
• Christiane Lynn Kubit, MD
• Alison Kuchta, LCSW
• Elizabeth Kulas, P.T.
• Karl Kulikowski, M.D.
• Meenal Kulkarni, D.D.S.
• Agara Srinivasagagan Kumar
• Karan Kumar, DO

• Speech-Language Pathologist in Danbury, CT
• Providers in Danbury, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.