Active NPI
Nicholas Michael Jennings
- Speech-Language Pathologist
- Pittsburgh, PA
National Provider Identifier
1801581178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14354876
- Practice address
- 250 Mount Lebanon Blvd Ste 310
Pittsburgh, PA 15234-1248 - Phone
- (412) 841-8908
- NPI assigned
- Apr 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14354876 | PA | Primary |
Addresses
Primary practice location
250 Mount Lebanon Blvd Ste 310
Pittsburgh, PA 15234-1248
Mailing address
97 S 23Rd St Apt 5
Pittsburgh, PA 15203-2257
Phone (570) 228-1202
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14354876 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1801581178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 S 23RD ST APT 5",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152032257",
"telephone_number": "570-228-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MOUNT LEBANON BLVD STE 310",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152341248",
"telephone_number": "412-841-8908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "NICHOLAS",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "14354876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.