Active NPI
Jenna Miserendino
- Speech-Language Pathologist
- Meraux, LA
National Provider Identifier
1821722745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8901
- Practice address
- 2317 Emilie Oak Dr
Meraux, LA 70075-2470 - Phone
- (504) 220-4711
- NPI assigned
- Jul 15, 2022
- Last updated
- Aug 3, 2022
- Sex
- Female
- 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 | 8901 | LA | Primary |
Addresses
Primary practice location
2317 Emilie Oak Dr
Meraux, LA 70075-2470
Mailing address
2317 Emilie Oak Dr
Meraux, LA 70075-2470
Phone (504) 220-4711
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 |
|---|---|---|---|
| 8901 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Bernard Parish School Board | Current | Accepting new patients | |
| St. Bernard Parish School Board | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Chalmette, LA
- NPI 1154588184
-
- Local Education Agency (LEA)
- Chalmette, LA
- NPI 1376732230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1821722745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2317 EMILIE OAK DR",
"city": "MERAUX",
"state": "LA",
"postal_code": "700752470",
"telephone_number": "504-220-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 EMILIE OAK DR",
"city": "MERAUX",
"state": "LA",
"postal_code": "700752470",
"telephone_number": "504-220-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISERENDINO",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "8901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meraux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.