Jenna Shelton Landgren

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010672 Issued in GA

Practice address

5450 Glenridge Dr Apt 433
Atlanta, GA 30342-4982

Phone

(706) 570-8472

NPI assigned

Apr 21, 2021

Sex

Female

Sole proprietor

No

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

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.

• Bright Horizons Pediatric Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Marietta, GA
  • NPI 1447557566
  NPD (past)

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1982286894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 GLENRIDGE DR APT 433",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424982",
            "telephone_number": "706-570-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 GLENRIDGE DR APT 433",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424982",
            "telephone_number": "706-570-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDGREN",
        "first_name": "JENNA",
        "middle_name": "SHELTON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Donta Land
• Regina Marie Land
• Robin Landa, M.S., BCBA
• Pedro Antonio Landaverde, PA-C
• Michael Keith Landers, DO
• Bissell Landis
• Eliahu Landman, PA
• Landmark Medical of Tennessee PC
• Landmark Speech and Language Services, LLC
• Laura G Landon, PA-C

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.