Judy Ann Jenner, M.S.

Key facts

NPI

1982959318

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

SA10437 (FL)

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

Sex

Female

Sole proprietor

No

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.

• Ippolito Rehabilitation, LLC Physical Therapist · Naples, FL · NPI 1386140754
  Medicare reassignment Care Compare group NPD FL

Medicare Care Compare profile

Specialty

Qualified Speech Language Pathologist

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ippolito Rehabilitation LLC (16 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Science

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 23, 2012.

{
    "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

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• Maria Ann Jencura-Fisher, D.C.
• Carrie Jenkins, LMHC
• Kalie M Jenkins
• Lori Jenkins, LCSW
• Shelley Renee Jennings, RN,BSN
• Jenny Adams, PA
• Jenny Zoler Dounchis, PH.D.
• Oivind E Jensen, D.D.S., M.S.
• Jepsen Chiropractic Wellness Center Inc.

All providers in Naples, FL · Speech-Language Pathologist in Florida