Jessica Devennie, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11648 Issued in NC

Practice address

134 Infield CT
Mooresville, NC 28117-8026

Phone

(047) 996-8247

Fax

(704) 799-6825

NPI assigned

Jan 2, 2016

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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.

• Integrative Therapy Concepts

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  • NPI 1508849332

  Multi-Specialty

  NPD (past)
• Lolly Therapeutics, LLC

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  • NPI 1164847752

  Multi-Specialty

  NPD (past)
• Jessica Wysokinski

  • Early Intervention Provider Agency
  • Middletown, NJ
  • NPI 1437520780
  NPD (past)

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

{
    "created_epoch": "1451692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1760848030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PEDEE PL",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482319",
            "telephone_number": "732-233-6327",
            "fax_number": "864-751-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 INFIELD CT",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178026",
            "telephone_number": "047-996-8247",
            "fax_number": "704-799-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENNIE",
        "first_name": "JESSICA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-02",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick W Denman, D.C.
• Anne Marie Denning, PA
• Janine Marie Denoncourt, LCSW
• Heather Densmore, P.T.
• Derrick W. Denman DC PA (Alternative Chiropractic: a Creating Wellness Center)
• Francesca Meloy Devine, DO
• Savannah May Diamond, SLP
• Diane E Haberl DDS PA
• Diekman Counseling & Consulting, PC
• Jeanette Marie Diekman, MA, LPC

• Speech-Language Pathologist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.