JENNIFER PEACOCK (NPI# 1306349436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306349436 |
| Entity Type | Individual |
| Full Name | JENNIFER PEACOCK |
| Credential | M.A., CCC-SLP |
| Practice Address |
2799 W Grand Blvd Detroit MI 48202-2608 |
| Mailing Address |
2799 W. Grand Boulevard Pallister Place - Speech Pathology Detroit MI 48202 |
| Practice Telephone | 3139164612 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7101000767 | MI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336513704 | Jennifer J. Peacock | Clinical Nurse Specialist | 2818 W 12875 S, Riverton, UT 84065-6837 | 2015-11-22 |
| 1275706814 | Jennifer April Peacock | Behavioral Analyst | 1557 Beaver Trail Dr, Cordova, TN 38016-6021 | 2008-04-03 |
| 1417340035 | Jennifer Peacock | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2015-03-06 |
| 1336482686 | Jennifer Nicole Peacock | Anesthesiology | 300 Community Dr, Manhasset, NY 11030-3876 | 2013-04-04 |
| Street Address |
2799 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132069 | Donna Prince | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2005-05-24 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1255932430 | Amy Katlyn Carion | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-04 | |
| 1871194415 | Alexandria Denise Roberts | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-11-02 |
| 1174121420 | John Charles Sanno | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-10-09 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1922615145 | Chelsea Elizabeth Owen | Nurse Anesthetist, Certified Registered | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1275130395 | Zana Latkovac | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1932713237 | Lucas Costa Santos | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| 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 |
|---|---|---|---|---|
| 1205381365 | Frederick Turner | Speech-Language Pathologist | 2400 W Mcnichols Rd, Detroit, MI 48221-3129 | 2016-08-18 |
| 1194199794 | Need To Talk, LLC | Speech-Language Pathologist | 1420 Washington Blvd, Detroit, MI 48226-1718 | 2015-11-19 |
| 1730514514 | Matthew G Berry | Speech-Language Pathologist | 542 W Grand Blvd, Detroit, MI 48216-1439 | 2013-09-11 |
| 1801154943 | Peter Rabbit Day Care Center Inc | Speech-Language Pathologist | 5901 Cadieux Rd, Detroit, MI 48224-2003 | 2012-04-26 |
| 1225326366 | Katie Marie Kearns | Speech-Language Pathologist | 5447 Woodward Avenue, Detroit, MI 48202-4099 | 2011-07-11 |
| 1326331877 | Lisa Michelle Moreasun | Speech-Language Pathologist | 10310 Mackenzie St, Detroit, MI 48204-3009 | 2011-05-17 |
| 1962634865 | Patricia A. Pace | Speech-Language Pathologist | 4627 Lumley St, Upper, Detroit, MI 48210-2199 | 2009-08-12 |
| 1043441660 | Aaron Delaine Hardy-smith | Speech-Language Pathologist | 16811 Rosemont Ave, Detroit, MI 48219-4117 | 2009-07-30 |
| 1477793651 | Cheryl Lynette Lang | Speech-Language Pathologist | 1365 Bagley St, Detroit, MI 48226-1004 | 2009-02-27 |
| 1639243801 | Ruth Remus | Speech-Language Pathologist | 14574 Warwick St, Detroit, MI 48223-2247 | 2006-11-20 |
| Find all providers in DETROIT | ||||
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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.