Jenna Lynn Conway Bingham, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3501 Marlin Dr
Louisville, KY 40299-3530

Phone

(502) 216-4793

NPI assigned

Jul 10, 2020

Last updated

Feb 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Tiny Tots Therapy, LLC

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  • NPI 1902503386

  Speech-Language Pathologist

  NPD Authorized official
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  • La Grange, KY
  • NPI 1508277864
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1861010415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MARLIN DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MARLIN DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993530",
            "telephone_number": "502-216-4793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4603 Timberwalk Ct",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "KY",
            "postal_code": "400316746",
            "country_code": "US",
            "telephone_number": "703-864-6695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7111 Birnamwood Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402583843",
            "country_code": "US",
            "telephone_number": "502-216-4793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "JENNA",
        "middle_name": "LYNN CONWAY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gmail.com",
            "affiliation": "N",
            "address_1": "3501 Marlin Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402993530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kate E Bilotta, LCSW
• Susanne Binford, LCSW
• Bingham Child Guidance Clinic
• Bingham Childguidance Center
• Andrew Edward Bingham, MD
• Binkley Endodontics, PLLC (Binkley Endodontics)
• Catherine J Binkley, DMD
• Haley Binkley, MA, BCBA, LBA
• Kelly Blankenship Binkley, CRNA
• Lindsey Nicole Binns, PHARMD

• Speech-Language Pathologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.