Jennifer Hartwell Henderson, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0000002328 Issued in TN

Practice address

1535 Vann Dr
Jackson, TN 38305-2095

Phone

(901) 355-3876

NPI assigned

Apr 13, 2020

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

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1770102444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 W MAIN ST",
            "city": "HALLS",
            "state": "TN",
            "postal_code": "380401418",
            "telephone_number": "901-355-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 VANN DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052095",
            "telephone_number": "901-355-3876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381054934",
            "country_code": "US",
            "telephone_number": "901-287-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JENNIFER",
        "middle_name": "HARTWELL",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000002328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Scott Helm, M.D.
• Helping Hands of Middle & West Tennessee
• Helping Hands of Middle & West Tennessee
• Amanda Jane Helton-Clark, PHARMD
• Hematology Oncology Associates, PC
• Robert Owen Henderson Jr., DRPH
• Denean Hendren, APN
• Kenzie Britt Hendrix, DO
• Haley Henley, LMSW
• Scarlett P Henley, CMHC

• Speech-Language Pathologist in Jackson, TN
• Providers in Jackson, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.