JENNIFER DOLORES JENKINS (NPI# 1336538909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336538909 |
| Entity Type | Individual |
| Full Name | JENNIFER DOLORES JENKINS |
| Other Name | JENNIFER DOLORES KASSEBAUM |
| Practice Address |
3040 N Wickham Rd Melbourne FL 32935-2369 |
| Mailing Address |
301 Cinnamon Dr Satellite Beach FL 32937-3122 |
| Practice Telephone | 3217511443 |
| Mailing Telephone | 9176124015 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559774 | Jennifer Jenkins | Day Training/Habilitation Specialist | 272 Buttercup Ln, Dallas, TX 75217-7201 | 2019-07-11 |
| 1619472933 | Jennifer Jenkins | Social Worker | 10030 Oriole Ct, Miamisburg, OH 45342-0879 | 2018-03-28 |
| 1669749867 | Jennifer Jenkins | Occupational Therapy Assistant | 1580 Sawgrass Corp Pkwy, Suite 100, Sunrise, FL 33323 | 2011-11-17 |
| 1689959249 | Jennifer Jenkins | Pharmacy Technician | 517 S Jefferson St, San Angelo, TX 76901-4519 | 2011-10-14 |
| 1194034009 | Jennifer Odean Jenkins | Physical Therapist | 1767 Emerald Ave, York, PA 17408-4409 | 2010-09-27 |
| 1093968927 | Jennifer Jenkins | Registered Nurse | 13933 State Route 668, Glenford, OH 43739-9707 | 2008-10-22 |
| 1194768507 | Jennifer Diane Jenkins | Family Medicine | 910 Adcock Dr, Heber Springs, AR 72543-9674 | 2006-06-14 |
| 1922573658 | Jennifer Anne Jenkins | Registered Nurse | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2018-10-09 |
| 1639605645 | Jennifer Jenkins | Pharmacist | 191 Depot St, Vacaville, CA 95688-3900 | 2017-05-11 |
| 1649658667 | Jennifer Jean Jenkins | Specialist | 8 Center Street, Westville, IL 61883-1002 | 2015-05-11 |
| Street Address |
3040 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356333124 | Thomas Glenn Dimarco | Occupational Therapist | 3040 N Wickham Rd, Suite 7, Melbourne, FL 32935-2369 | 2005-08-18 |
| 1316487705 | Danielle Ryba | Speech-Language Pathologist | 3040 N Wickham Rd, Suite 4, Melbourne, FL 32935-2369 | 2017-03-03 |
| 1790135945 | Victoria Scott | Speech-Language Pathologist | 3040 N Wickham Rd, Suite 4, Melbourne, FL 32935-2369 | 2016-06-20 |
| 1689020893 | Dana E Mcclure | Speech-Language Pathologist | 3040 N Wickham Rd, Suite 4, Melbourne, FL 32935-2369 | 2016-05-05 |
| 1992130413 | Hsiao Ting Wang | Acupuncturist | 3040 N Wickham Rd, Unit 5, Melbourne, FL 32935-2369 | 2013-09-04 |
| 1073884979 | Jennifer Thompson | Counselor | 3040 N Wickham Rd, Suite 10, Melbourne, FL 32935-2369 | 2012-01-24 |
| 1629209846 | Audrey I Matty | Speech-Language Pathologist | 3040 N Wickham Rd, Suite 7, Melbourne, FL 32935-2369 | 2009-08-05 |
| 1649447038 | Brooke A Wilson | Speech-Language Pathologist | 3040 N Wickham Rd, Suite 4, Melbourne, FL 32935-2369 | 2008-05-14 |
| 1821283300 | Alpha Homecare & Therapy Agency LLC | Home Health | 3040 N Wickham Rd, Suite 7, Melbourne, FL 32935-2369 | 2007-09-07 |
| 1700083664 | Tabitha Renee Brawley | Speech-Language Pathologist | 3040 N Wickham Rd, Suite #4, Melbourne, FL 32935-2369 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| 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 |
|---|---|---|---|---|
| 1558960005 | Amanda Lacroix | Speech-Language Pathologist | 1333 Gateway Dr, Melbourne, FL 32901-2646 | 2020-10-25 |
| 1689298655 | Leslie Stein | Speech-Language Pathologist | 2584 Senator Way, Melbourne, FL 32901-6810 | 2020-06-04 |
| 1396365342 | Kathleen Chodur | Speech-Language Pathologist | 8705 N Wickham Rd, Melbourne, FL 32940-5997 | 2020-04-20 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1003314139 | Libby Jasmine King | Speech-Language Pathologist | 6550 N Wickham Rd Ste 8, Melbourne, FL 32940-2038 | 2018-01-23 |
| 1265947329 | Jennifer Favino-sher | Speech-Language Pathologist | 6446 Arroyo Dr, Melbourne, FL 32940-8508 | 2017-12-11 |
| 1699210880 | Angela Knopf | Speech-Language Pathologist | 721 Casa Grande Dr, Melbourne, FL 32940-7004 | 2016-12-27 |
| 1235672833 | Megan Gonnelly | Speech-Language Pathologist | 484 N Wickham Rd Apt 144, Melbourne, FL 32935-8642 | 2016-11-30 |
| 1376090340 | Katherine Thew | Speech-Language Pathologist | 656 Carriage Hill Road, Melbourne, FL 32940 | 2016-09-07 |
| 1639623341 | Vianny Gordon | Speech-Language Pathologist | 780 S Apollo Blvd Ste 104, Melbourne, FL 32901-1402 | 2016-08-10 |
| Find all providers in MELBOURNE | ||||
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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.