Active NPI
Jennifer Beth Katzen, M.S., CCC-SLP
- Speech-Language Pathologist
- Hollywood, FL
National Provider Identifier
1811210271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA15324
- Practice address
- 10539 Zurich St
Hollywood, FL 33026-4826 - Phone
- (305) 733-3739
- NPI assigned
- Mar 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | DC | ||
| Speech-Language Pathologist | 235Z00000X | SZ4997 | FL | |
| Speech-Language Pathologist | 235Z00000X | 2202006067 | VA | |
| Speech-Language Pathologist | 235Z00000X | MD | ||
| Speech-Language Pathologist | 235Z00000X | SA15324 | FL | Primary |
Addresses
Primary practice location
10539 Zurich St
Hollywood, FL 33026-4826
Mailing address
10539 Zurich St
Hollywood, FL 33026-4826
Phone (305) 733-3739
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Theraplatform |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA15324 | FL | MD | Speech-Language Pathologist |
| SZ4997 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University, Inc | Current | Accepting new patients | |
| Katzen Holistic Speech-Language Pathology, PLLC | Single Specialty | Current | Accepting new patients |
| Nova Southeastern University, Inc | Single Specialty | Current | Accepting new patients |
| Nova Southeastern University Inc. | Current | Accepting new patients | |
| Nova Southeastern University, Inc | Past | Accepting new patients | |
| Washington Speech-Language Pathology Group PLLC | Single Specialty | Past | Accepting new patients |
| Nova Southeastern University, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Locations
3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250
7600 SW 36th St
Bldg 100
Davie, FL 33328
Phone (954) 262-3743
650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1811210271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10539 ZURICH ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330264826",
"telephone_number": "305-733-3739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10539 ZURICH ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330264826",
"telephone_number": "305-733-3739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZEN",
"first_name": "JENNIFER",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-12",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ4997",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202006067",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA15324",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Theraplatform",
"affiliation": "N",
"address_1": "10539 Zurich St",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330264826",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.