Individual provider Active NPI

Jennifer Duff Vitrano, SLP

  • Speech-Language Pathologist
  • Chattanooga, TN
National Provider Identifier
1902030257
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2321 Issued in TN
Practice address
1608 Gunbarrel Rd
Suite 201
Chattanooga, TN 37421-7197
Phone
(423) 892-8070
Fax
(423) 893-9891
NPI assigned
May 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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 2321 TN Primary

Addresses

Primary practice location

1608 Gunbarrel Rd
Suite 201
Chattanooga, TN 37421-7197

Mailing address

9742 Deer Ridge Dr
Ooltewah, TN 37363-4300
Phone (423) 790-4245

Other identifiers 1

IdentifierTypeStateIssuer
1512799MedicaidTN

Other names 1

  • Jennifer Lynn Duff Former name

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

LicenseStateTypeSpecialty
2321TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scenic City Speech LLC Speech-Language Pathologist Current Accepting new patients
Independent Physical Therapy, LLC Past Accepting new patients

Organizations & group practices 2

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": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1902030257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9742 DEER RIDGE DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634300",
            "telephone_number": "423-790-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 GUNBARREL RD",
            "address_2": "SUITE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217197",
            "telephone_number": "423-892-8070",
            "fax_number": "423-893-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITRANO",
        "first_name": "JENNIFER",
        "middle_name": "DUFF",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "2321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512799",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DUFF",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.