MIRANDA B JENNINGS (NPI# 1558605881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558605881 |
| Entity Type | Individual |
| Full Name | MIRANDA B JENNINGS |
| Credential | M.ED.CCC-SLP |
| Practice Address |
36261 Okefenokee Dr Folkston GA 31537-7853 |
| Practice Telephone | 9124967396 |
| Practice Fax Number | 9124962087 |
| Mailing Telephone | 9124967396 |
| Mailing Fax Number | 9124962087 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP007311 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
36261 OKEFENOKEE DR |
| City | FOLKSTON |
| State | GA |
| Zip Code | 31537-7853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265483259 | Sunbridge Charlton Healthcare LLC | Skilled Nursing Facility | 36261 Okefenokee Dr, Folkston, GA 31537-7853 | 2006-05-13 |
| 1770068868 | Danielle Pautler | Occupational Therapist | 36261 Okefenokee Dr, Folkston, GA 31537-7853 | 2018-09-25 |
| 1467999573 | Fs Snf LLC | Skilled Nursing Facility | 36261 Okefenokee Dr, Folkston, GA 31537-7853 | 2017-01-26 |
| 1730626318 | Hari Gnanasekeram, PC | Internal Medicine | 36261 Okefenokee Dr, Folkston, GA 31537-7853 | 2017-01-20 |
| 1821532961 | Bianca Antoinette Bonilla | Occupational Therapy Assistant | 36261 Okefenokee Dr, Folkston, GA 31537-7853 | 2016-12-08 |
| 1720454085 | Zackery Layne Burkholder | Physical Therapy Assistant | 36261 Okefenokee Dr, Folkston, GA 31537-7853 | 2015-08-20 |
| 1861868044 | Lindsay M Joseph | Occupational Therapy Assistant | 36261 Okefenokee Dr, Folkston, GA 31537-7853 | 2015-08-11 |
| 1932502341 | Betty Barber | Occupational Therapy Assistant | 36261 Okefenokee Dr, Folkston, GA 31537-7853 | 2014-09-29 |
| 1093125775 | Erin Lee Macpherson | Physical Therapy Assistant | 36261 Okefenokee Dr, Folkston, GA 31537-7853 | 2014-05-02 |
| 1407276629 | Richard David Ricks | Physical Therapy Assistant | 36261 Okefenokee Dr, Folkston, GA 31537-7853 | 2014-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124390216 | Charlton Cs | Day Training, Developmentally Disabled Services | 3010 Homeland Park Rd, Folkston, GA 31537 | 2012-02-03 |
| 1962549253 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | Rr 1 Box 3010, Folkston, GA 31537 | 2007-01-30 |
| 1922018159 | Albert Marion Thompson Jr. | Family Medicine | 1203 N 3rd St, Folkston, GA 31537-0188 | 2006-08-09 |
| 1063413706 | Ghislain Richard Perron | Family Medicine | 1001 N 3rd St, Folkston, GA 31537-1301 | 2005-08-03 |
| 1760419063 | Heather G Peebles | Dietitian, Registered | 1209 N 3rd St, Folkston, GA 31537-1303 | 2006-06-26 |
| 1619979812 | Hal London | Emergency Medicine | 1203 N 3rd St, Folkston, GA 31537-1303 | 2005-06-01 |
| 1295174381 | Will Cameron Duncan | Physical Therapist | 1203 N 3rd St, Folkston, GA 31537-1303 | 2013-06-21 |
| 1841540622 | Stephanie Lisa Mcnulty | Physical Therapist | 1203 N 3rd St, Folkston, GA 31537-1303 | 2012-09-19 |
| 1700027364 | Robert Duaine Lott | Emergency Medicine | 1203 N 3rd St, Folkston, GA 31537-1303 | 2009-03-11 |
| 1932108594 | Jaimee Denyse Garcia | Physical Therapist | 1203 N 3rd St, Folkston, GA 31537-1303 | 2005-07-18 |
| Find all providers in zip 31537 | ||||
| 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 |
|---|---|---|---|---|
| 1356720536 | Amber Renee Manning | Speech-Language Pathologist | 1405 Sardis Rd, Folkston, GA 31537-8415 | 2015-05-21 |
| 1457696825 | Miryam Bordow Daconceicao | Speech-Language Pathologist | 36261 Okefenokee Dr, Folkston, GA 31537-7853 | 2012-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496484 | Tracey Samet Grant | Speech-Language Pathologist | 660 Glenairy Dr, Sandy Springs, GA 30328-4215 | 2020-10-31 |
| 1386242147 | Busy Little Bee Speech Therapy | Speech-Language Pathologist | 2 Parmenter St, Cartersville, GA 30120-2569 | 2020-10-14 |
| 1033717749 | Sullivan Mccallon Friedrich | Speech-Language Pathologist | 413 W Montgomery Cross Rd, Savannah, GA 31406-3364 | 2020-10-14 |
| 1235737313 | Morgan Wojcik | Speech-Language Pathologist | 1777 N East Expy Ne Ste 120, Brookhaven, GA 30329-2475 | 2020-10-12 |
| 1699372953 | Sarah Elise Vaughn | Speech-Language Pathologist | 925 Osburn Rd, Chickamauga, GA 30707-2847 | 2020-10-08 |
| 1871190561 | Brian Tye | Speech-Language Pathologist | 1168 Chulio Rd Se, Rome, GA 30161-4084 | 2020-10-06 |
| 1538766761 | Camille Steiden | Speech-Language Pathologist | 300 W Wieuca Rd Ne Ste 200, Atlanta, GA 30342-3352 | 2020-10-01 |
| 1689281032 | Chit Chat Pediatric Therapy LLC | Speech-Language Pathologist | 97 Carter St, Soperton, GA 30457-2752 | 2020-09-29 |
| 1962019893 | Miriam Beth Rosenberg | Speech-Language Pathologist | 3843 Sweet Magnolia Dr, Gainesville, GA 30504-5949 | 2020-09-24 |
| 1093320244 | Brittany Jamison | Speech-Language Pathologist | 180 Horizon Drive, Dahlonega, GA 30533 | 2020-09-14 |
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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.