Jenna Rebecca Rosenberg, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

001976 Issued in IA

Practice address

4725 Merle Hay Rd
107
Des Moines, IA 50322

Phone

(515) 331-3190

Fax

(515) 331-3191

NPI assigned

Dec 6, 2012

Last updated

Dec 6, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1881939593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 NW 155TH CT",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "50325",
            "telephone_number": "515-331-3190",
            "fax_number": "515-331-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 MERLE HAY RD",
            "address_2": "107",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50322",
            "telephone_number": "515-331-3190",
            "fax_number": "515-331-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JENNA",
        "middle_name": "REBECCA",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "001976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Elizabeth Ropte, DO
• Elizabeth Roques-Mansfield, LMSW, CADC
• Brandon Rosa
• Jenna Lea Rose, PHARMD
• Debra Roseberry, LISW
• Lavon Rosendahl, OTR/L
• Richard Rosendahl, FNP-C
• Justin Ronald Newton Rosenow, D.O.
• Brett David Rosenthal, MD
• Roseroot Counseling and Consulting, LTD.

• Speech-Language Pathologist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.