Jennifer Hesketh, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL003535L Issued in PA

Practice address

2267 Autumnwood Dr
State College, PA 16801-2409

Phone

(814) 880-3278

NPI assigned

Sep 16, 2006

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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1902902711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 AUTUMNWOOD DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012409",
            "telephone_number": "814-880-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 AUTUMNWOOD DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012409",
            "telephone_number": "814-880-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESKETH",
        "first_name": "JENNIFER",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL003535L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPTIAL BLUE CROSS",
            "identifier": "02102201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "HE760481",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "126628",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Russell Joseph Hildebrand, D.C.

• Speech-Language Pathologist in State College, PA
• Providers in State College, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.