Individual provider Active NPI

Jessica Hunnemeder, MA, CCC-SLP

  • Speech-Language Pathologist
  • Ewa Beach, HI
National Provider Identifier
1760870141
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1864 Issued in HI
Practice address
91-3598 Nana Hope St Unit 609
Ewa Beach, HI 96706-6828
Phone
(732) 439-2705
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00784900 NJ
Speech-Language Pathologist 235Z00000X SP-1864 HI Primary

Addresses

Primary practice location

91-3598 Nana Hope St Unit 609
Ewa Beach, HI 96706-6828

Mailing address

91-3598 Nana Hope St Unit 609
Ewa Beach, HI 96706-6828
Phone (732) 439-2705

Other practice location 1

984 U.S. Route 9
Sayreville, NJ 08859
Phone (732) 887-4628

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 Arts

State licenses

LicenseStateTypeSpecialty
SP-1864HIMDSpeech-Language Pathologist
41YS00784900NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pangea Speech Therapy LLC CurrentSince Dec 17, 2023 Accepting new patients

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1760870141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-3598 NANA HOPE ST UNIT 609",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066828",
            "telephone_number": "732-439-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-3598 NANA HOPE ST UNIT 609",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066828",
            "telephone_number": "732-439-2705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "984 U.S. Route 9",
            "address_purpose": "LOCATION",
            "city": "Sayreville",
            "state": "NJ",
            "postal_code": "08859",
            "country_code": "US",
            "telephone_number": "732-887-4628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNNEMEDER",
        "first_name": "JESSICA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2023-05-22",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00784900",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP-1864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

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