Jenna Weber, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA17494 Issued in FL

Practice address

1421 Pine Ridge Rd Ste 120
Naples, FL 34109-2116

Phone

(239) 597-0935

NPI assigned

Sep 27, 2019

Last updated

Aug 1, 2022By 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

Other names 1

• Jenna Demczak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• North Naples Therapy & Enrichment Services, P.a.

  • Pediatric Occupational Therapist
  • Naples, FL
  • NPI 1003452582

  Speech-Language Pathologist

  NPD
• Therhappy Therapy Services, Inc.

  • Physical Therapist
  • Hudson, FL
  • NPI 1023361987

  Speech-Language Pathologist

  NPD
• Therhappy Therapy Services, Inc.

  • Contractor
  • Hudson, FL
  • NPI 1750242350
  NPD

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1881245165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 108TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081865",
            "telephone_number": "239-404-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 PINE RIDGE RD STE 120",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092116",
            "telephone_number": "239-597-0935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11820 Denton Ave",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346675419",
            "country_code": "US",
            "telephone_number": "727-862-9101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JENNA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "DEMCZAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John J Weaver, MD
• Leah Weaver
• Andrea Jordan Webb, RBT
• Gary Allen Webb, M.D.
• Patrice Naccarato Webb, P.A.
• Kristopher Thomas Weber, LMHC
• Robert E Weber, MD
• Charles Cole Webster, DPT
• Olivia Anne Weeks, OTR
• Meagan Brianna Weems, LCSW

• Speech-Language Pathologist in Naples, FL
• Providers in Naples, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.