Jacqueline Magennis, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2354-154 Issued in WI

Practice address

1126 S 70TH St
West Allis, WI 53214-3151

Phone

(414) 456-2331

Fax

(414) 456-2339

NPI assigned

May 21, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Wheaton Franciscan Rehabilitation Services

  • Physical Therapy Clinic/Center
  • West Allis, WI
  • NPI 1386802825
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1801053301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 S 70TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143151",
            "telephone_number": "414-456-2331",
            "fax_number": "414-456-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 S 70TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143151",
            "telephone_number": "414-456-2331",
            "fax_number": "414-456-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGENNIS",
        "first_name": "JACQUELINE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2354-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M. Casey Chiro-Care LLC
• Lisa A Macali, DPT
• Toks E Macarthy, MD
• Mark T Machak, LPC
• Daniel Joseph Madonia, LPC-IT
• Tiffany Lynn Maggioncalda, APNP
• Sofia Maglio
• Suzanne Mahalick, PHARMD
• Wasef Nemer Mahmoud, DDS
• Paul Ronald Mahn

• Speech-Language Pathologist in West Allis, WI
• Providers in West Allis, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.