JENNIFER LYNN WENTZ (NPI# 1245479856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245479856 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN WENTZ |
| Credential | CFY-SLP |
| Practice Address |
1717 Industrial Dr Fordyce AR 71742-7104 |
| Practice Telephone | 8703527975 |
| Mailing Telephone | 8703527975 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP#P8153 | AR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 175020721 | 05 | |
| AR | ARKANSAS BOARD OF EXAMINERS SPEECH LANGUAGE PATHOLOGY AND AUDIOL | SP#P8153 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073029641 | Jennifer Wentz | Counselor | 343 Washington St, Walnutport, PA 18088-1452 | 2017-12-19 |
| 1932414158 | Jennifer Wentz | Marriage & Family Therapist | 101 Gregory Ln, Suite 33, Pleasant Hill, CA 94523-4982 | 2010-08-12 |
| Street Address |
1717 INDUSTRIAL DR |
| City | FORDYCE |
| State | AR |
| Zip Code | 71742-7104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124177217 | Joy Susanne Moody | Occupational Therapy Assistant | 1717 Industrial Dr, Fordyce, AR 71742-7104 | 2007-01-09 |
| 1962872648 | Lindy Leeann Williams | Speech-Language Pathologist | 1717 Industrial Dr, Fordyce, AR 71742-7104 | 2015-10-06 |
| 1811248313 | Chelsea Stover | Speech-Language Pathologist | 1717 Industrial Dr, Fordyce, AR 71742-7104 | 2012-09-24 |
| 1487937538 | Brianna N Nix | Specialist/Technologist | 1717 Industrial Dr, Fordyce, AR 71742-7104 | 2011-09-26 |
| 1740413384 | Jennifer Lynn Brown | Physical Therapy Assistant | 1717 Industrial Dr, Fordyce, AR 71742-7104 | 2009-08-31 |
| 1619122744 | Samantha Nicole Daniell | Occupational Therapist | 1717 Industrial Dr, Fordyce, AR 71742-7104 | 2008-11-17 |
| 1801048616 | Brandy Meleia Dixon | Occupational Therapy Assistant | 1717 Industrial Dr, Fordyce, AR 71742-7104 | 2008-10-13 |
| 1902955743 | Brandy Morrison | Occupational Therapist | 1717 Industrial Dr, Fordyce, AR 71742-7104 | 2007-01-10 |
| 1720137987 | Melanie Renee Kauffman | Speech-Language Pathologist | 1717 Industrial Dr, Fordyce, AR 71742-7104 | 2007-01-09 |
| 1538218656 | Donna Arnold | Physical Therapist | 1717 Industrial Dr, Fordyce, AR 71742-7104 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699946723 | Harry R. Denison, P.a. | Durable Medical Equipment & Medical Supplies | 312 Spring St., Fordyce, AR 71742 | 2008-03-17 |
| 1154541878 | St.john's Place of Arkansas, LLC | Skilled Nursing Facility | 815 Baxter St, Fordyce, AR 71742 | 2007-04-26 |
| 1952482036 | Habilitation Center, LLC | Intermediate Care Facility, Mentally Retarded | 1828 Industrial Dr, Fordyce, AR 71742 | 2006-10-17 |
| 1669423810 | Warmack Pharmacies Inc | Pharmacy | 802 W 4th St, Fordyce, AR 71742 | 2006-05-12 |
| 1306826029 | Board of Governors of Dallas County Medical Center | General Acute Care Hospital | 201 North Clifton Street, Fordyce, AR 71742 | 2006-01-19 |
| 1063013365 | Derek White | Pharmacist | Walmart Pharmacy, 1123 Highway 79-167 Bypass, Fordyce, AR 71742 | 2020-11-03 |
| 1962983395 | Warmack Pharmacies Inc | Pharmacy | 802 W 4th St, Fordyce, AR 71742 | 2018-08-23 |
| 1902178619 | Bhc Pinnacle Pointe Hospital, Inc. | Clinic/Center | 300 N Clifton St, Fordyce, AR 71742 | 2012-01-27 |
| 1134259443 | Lesley Self Ford | Counselor | 300 N Clifton St, Fordyce, AR 71742 | 2007-03-06 |
| 1346378528 | Board of Governors of Dallas County Medical Center | Clinic/Center | 201 North Clifton Street, Fordyce, AR 71742 | 2007-03-01 |
| Find all providers in zip 71742 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962872648 | Lindy Leeann Williams | Speech-Language Pathologist | 1717 Industrial Dr, Fordyce, AR 71742-7104 | 2015-10-06 |
| 1811248313 | Chelsea Stover | Speech-Language Pathologist | 1717 Industrial Dr, Fordyce, AR 71742-7104 | 2012-09-24 |
| 1720137987 | Melanie Renee Kauffman | Speech-Language Pathologist | 1717 Industrial Dr, Fordyce, AR 71742-7104 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768429 | Taylor Weston | Speech-Language Pathologist | 13 Bobwith Ln, Bella Vista, AR 72714-3903 | 2020-10-21 |
| 1508464454 | Caitlin Ketcher | Speech-Language Pathologist | 2 Country Club Cir, Maumelle, AR 72113-6578 | 2020-10-13 |
| 1487252706 | Janice H Mccullough | Speech-Language Pathologist | 2721 Highland Cir, Rogers, AR 72756-3113 | 2020-10-09 |
| 1447857768 | Susan Davis Phillips | Speech-Language Pathologist | 519 Latham Dr Fl 2, Lowell, AR 72745-8360 | 2020-10-08 |
| 1811500192 | Ashley Brown | Speech-Language Pathologist | 336 Us-82, Lake Village, AR 71653 | 2020-08-26 |
| 1922619626 | Kadee Cash | Speech-Language Pathologist | 6570 Highway 63, Rison, AR 71665-8827 | 2020-08-14 |
| 1801407846 | Allison Walker Griffin | Speech-Language Pathologist | 601 S Martin Luther King Jr Blvd, El Dorado, AR 71730-7173 | 2020-08-13 |
| 1215548623 | Jasmine Nicole Nile | Speech-Language Pathologist | 106 S Duncan Ave, Fayetteville, AR 72701-5631 | 2020-08-11 |
| 1740891035 | Kaitlin Tate Hill | Speech-Language Pathologist | 21 Mattie Lene Dr, Ward, AR 72176-8752 | 2020-08-11 |
| 1477163871 | Bailey Kennedy | Speech-Language Pathologist | 1008 E Oak St, Conway, AR 72032-4726 | 2020-07-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.