Jennifer Lynn Knight, M.A. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Washington, OK
NPI 1831404763 · NPPES record last updated Sep 5, 2013
Key facts
- NPI
- 1831404763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 4139 (OK)
- Practice address
- 26946 Santa Fe Ave
Washington, OK 73093-4511 - Phone
- (480) 427-1325
- NPI assigned
- Aug 16, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250514001154 | KS | Practitioner - Qualified Speech Language Pathologist | 1850695917 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4139 | OK | MD | General Practice Dentistry |
| SLP6885 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communication Station LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Pioneer Pet, LLC | Past | Accepting new patients | |
| Solace Pediatric Healthcare Therapy Services Az, Inc. | Speech-Language Pathologist | Past |
Accepting new patients |
Locations
8010 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 703-4037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP6885 | AZ | |
| Speech-Language Pathologist | 235Z00000X | 4139 | OK | Yes |
Addresses
Primary practice location
26946 Santa Fe Ave
Washington, OK 73093-4511
Mailing address
26946 Santa Fe Ave
Washington, OK 73093-4511
Phone (480) 427-1325
Other providers in Washington, OK
- Tracey Linn Barnes
- Deana Ann Ford
- Rachelle Franklin
- Taylor Goldsby
- Latosha Hardcastle
- Robert Don Malmberg
- Rachelle Metcalf
- Scarlett Baker Tague
- Angela M Watson
- Cynde A Whitten
All providers in Washington, OK · Speech-Language Pathologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.