Active NPI
Judy Ann Jenner, M.S.
- Speech-Language Pathologist
- Naples, FL
National Provider Identifier
1982959318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA10437
- Practice address
- 671 Goodlette Rd N
Suite 140
Naples, FL 34102-5469 - Phone
- (239) 434-9512
- Fax
- (239) 643-5908
- NPI assigned
- Jul 23, 2012
- Last updated
- Jul 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA10437 | FL | Primary |
Addresses
Primary practice location
671 Goodlette Rd N
Suite 140
Naples, FL 34102-5469
Mailing address
873 Carrick Bend Cir Apt 101
Naples, FL 34110-4601
Phone (661) 599-6769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3569 Pilot Cir
Naples, FL 34120-0714
Phone (239) 390-3978
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ippolito Rehabilitation, LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1982959318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "873 CARRICK BEND CIR APT 101",
"city": "NAPLES",
"state": "FL",
"postal_code": "341104601",
"telephone_number": "661-599-6769",
"fax_number": "239-643-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 GOODLETTE RD N",
"address_2": "SUITE 140",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025469",
"telephone_number": "239-434-9512",
"fax_number": "239-643-5908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNER",
"first_name": "JUDY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA10437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.