Jennifer Rucci, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4539 Issued in CT

Practice address

21 Waterville Rd
Avon, CT 06001-2097

Phone

(860) 573-0120

NPI assigned

Jul 30, 2012

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

Other names 1

• Miss Jennifer Krodel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1780930610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CAMBRIDGE COMMONS",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WATERVILLE RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012097",
            "telephone_number": "860-573-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCCI",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "4539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KRODEL",
            "prefix": "MISS",
            "credential": "MA CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert A Rothenberg, MD
• Cheryl Rowe, MA/CCC-SLP
• Alyre Roy
• Lynette Roy, PTA
• Nicole Marie Rubinow, PHARM D
• Margaret M Rudin, APRN
• Betty Ann Rudolph, LCSW
• Eric F Ruiz, DDS
• Alexander Geoffrey Russell, PT, DPT, CSCS
• Rust Homecare Services LLC

• Speech-Language Pathologist in Avon, CT
• Providers in Avon, 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 Jul 30, 2012; 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.