Individual provider Active NPI

Jennine Michelle Spennacchio, M.S, CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Hopewell Junction, NY
National Provider Identifier
1861893398
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
025144 Issued in NY
Practice address
822 Ny-82
Suite 330
Hopewell Junction, NY 12533
Phone
(845) 242-7461
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 025144 NY Primary

Addresses

Primary practice location

822 Ny-82
Suite 330
Hopewell Junction, NY 12533

Mailing address

26 Pitcher Rd
Hopewell Junction, NY 12533-5186
Phone (845) 242-7461

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
025144NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Isa Marrs SLP, P.C 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.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1861893398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PITCHER RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125335186",
            "telephone_number": "845-242-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 NY-82",
            "address_2": "SUITE 330",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "12533",
            "telephone_number": "845-242-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENNACCHIO",
        "first_name": "JENNINE",
        "middle_name": "MICHELLE",
        "credential": "M.S, CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.