Jennifer Alllison Reidenbach, MSR, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3695 Issued in SC

Practice address

1233 Ben Sawyer Blvd
Suite 500
Mount Pleasant, SC 29464-4577

Phone

(843) 697-0396

Fax

(864) 640-8011

NPI assigned

Apr 11, 2006

Last updated

Oct 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Jennifer Lynn Allison Former name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allison Therapeutics, LLC

  • Speech-Language Pathologist
  • Mount Pleasant, SC
  • NPI 1134123045
  NPD Authorized official

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1780647610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 BEN SAWYER BLVD",
            "address_2": "SUITE 500",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644577",
            "telephone_number": "843-697-0396",
            "fax_number": "864-640-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 BEN SAWYER BLVD",
            "address_2": "SUITE 500",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644577",
            "telephone_number": "843-697-0396",
            "fax_number": "864-640-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDENBACH",
        "first_name": "JENNIFER",
        "middle_name": "ALLLISON",
        "name_prefix": "Mrs.",
        "credential": "MSR, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0617",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ALLISON",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "MSR, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.