Active NPI
Jennifer Anne Dye, M.S.CCC-SLP
- Speech-Language Pathologist
- Frederick, MD
National Provider Identifier
1841597705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 03338
- Practice address
- 5312 Ballenger Creek Pike
Frederick, MD 21703 - Phone
- (240) 235-5400
- NPI assigned
- Feb 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 03338 | MD | Primary |
Addresses
Primary practice location
5312 Ballenger Creek Pike
Frederick, MD 21703
Mailing address
115 Phoenix CT
Walkersville, MD 21793-9104
Phone (301) 845-8124
Other practice location 1
5312 Ballenger Creek Pike
Frederick, MD 21703-7008
Phone (240) 236-6400 ext. 66618
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 |
|---|---|---|---|
| 03338 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1841597705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 PHOENIX CT",
"city": "WALKERSVILLE",
"state": "MD",
"postal_code": "217939104",
"telephone_number": "301-845-8124",
"fax_number": "301-845-8124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5312 BALLENGER CREEK PIKE",
"city": "FREDERICK",
"state": "MD",
"postal_code": "21703",
"telephone_number": "240-235-5400"
}
],
"practiceLocations": [
{
"address_1": "5312 Ballenger Creek Pike",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217037008",
"country_code": "US",
"telephone_number": "240-236-6400 x66618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYE",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "M.S.CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-11",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "03338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.