Individual provider Active NPI

Jenna Landua, M.S. CCC-SLP

  • Speech/Language/Hearing Specialist/Technologist
  • Edmond, OK
National Provider Identifier
1982444329
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X
License
6491 Issued in OK
Practice address
307 E Danforth Rd Ste 130
Edmond, OK 73034-4485
Phone
(397) 355-0405
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech/Language/Hearing Specialist/Technologist 235500000X 6491 OK Primary

Addresses

Primary practice location

307 E Danforth Rd Ste 130
Edmond, OK 73034-4485

Mailing address

2400 Golden LN
Edmond, OK 73012-4286
Phone (619) 261-8894

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6491OKMDSpeech/Language/Hearing Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anmxv LLC Speech-Language Pathologist PastSince Mar 24, 2024 Accepting new patients

Organizations & group practices 1

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1982444329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 GOLDEN LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124286",
            "telephone_number": "619-261-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E DANFORTH RD STE 130",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344485",
            "telephone_number": "397-355-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDUA",
        "first_name": "JENNA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "OK",
            "license": "6491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.