Jennifer Greenlaw, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016318 Issued in OR

Practice address

84 Centennial Loop
Eugene, OR 97401-7909

Phone

(541) 255-2681

NPI assigned

Jul 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Ashley Golditch 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

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.

• Connect the Dots Pediatric Therapy, Inc

  • Pediatric Occupational Therapist
  • Eugene, OR
  • NPI 1285074633
  NPD (past)

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1972099810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LAKEVIEW DR APT 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084544",
            "telephone_number": "916-770-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CENTENNIAL LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017909",
            "telephone_number": "541-255-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLAW",
        "first_name": "JENNIFER",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27307",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "016318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GOLDITCH",
            "middle_name": "ASHLEY",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• McKenzie Greenblatt, MS, SLP-CCC
• Anika Greene
• Kay Greene
• Laura Kristin Greene, CNP
• Mike A Greene II, PTA
• Stuart Clark Greenleaf, L.AC.
• Diane A Gregoire, B.S., C.P.R.P.,Q.M.H
• Gregory F. Koors
• Andrea Gregory, MSW, LCSW
• Brooke Gregory

• Speech-Language Pathologist in Eugene, OR
• Providers in Eugene, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.