Individual provider Active NPI

Jennifer Beth Katzen, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Hollywood, FL
National Provider Identifier
1811210271
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA15324 Issued in FL
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

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X DC
Speech-Language Pathologist 235Z00000X SZ4997 FL
Speech-Language Pathologist 235Z00000X 2202006067 VA
Speech-Language Pathologist 235Z00000X MD
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Other URL Theraplatform

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210517000612 FL Practitioner - Qualified Speech Language Pathologist 5890933998 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA15324FLMDSpeech-Language Pathologist
SZ4997FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc CurrentSince Mar 6, 2023 Accepting new patients
Katzen Holistic Speech-Language Pathology, PLLC Single Specialty CurrentSince Jun 29, 2021 Accepting new patients
Nova Southeastern University, Inc Single Specialty Current Accepting new patients
Nova Southeastern University Inc. CurrentSince Mar 6, 2023 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.

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.

Verify at the official NPI Registry.