JENNIFER KELLEY BRANNEN (NPI# 1720638539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720638539 |
| Entity Type | Individual |
| Full Name | JENNIFER KELLEY BRANNEN |
| Credential | CCC-SLP |
| Practice Address |
880 Ridgeway Rd Commerce GA 30529-1396 |
| Mailing Address |
Encore Rehabilitation 880 Ridgeway Road Commerce GA 30529 |
| Practice Telephone | 8287020388 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1839 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ASHA | 01-104477 | 01 | |
| ASHA | 01104477 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 Oglethorpe Ave Ste A2, Athens, GA 306062221 | 7706096295 |
| Street Address |
880 RIDGEWAY RD |
| City | COMMERCE |
| State | GA |
| Zip Code | 30529-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1477091155 | Joshua W. Upton | Pharmacist | 220 Hwy. 334, Commerce, GA 30529 | 2017-02-02 |
| 1881041853 | Le-nguyen, D.m.d., P.C. | Dentist | 119 Pottery Factory Drive, Commerce, GA 30529 | 2016-05-19 |
| 1104166800 | Ashley Hardigree Brueshaber | Nurse Practitioner | 1935 A Homer Rd, Suite A, Commerce, GA 30529 | 2013-02-18 |
| 1003179946 | Mary Allison Adams | Registered Nurse | 1935 Homer Rd Ste A, Commerce, GA 30529 | 2012-06-15 |
| 1386802155 | Urgent Care Banks Crossing LLC | Pain Medicine | 415 B Pottery Factory Drive, Commerce, GA 30529 | 2008-05-29 |
| 1841468287 | Ingles Markets Inc | Pharmacy | 220 Hwy 334, Commerce, GA 30529 | 2008-02-20 |
| 1548334758 | Advantage Bhs | Clinic/Center | 106 Industrial Pkwy, Commerce, GA 30529 | 2006-11-20 |
| 1023192325 | Thomas Arthur Wilber | Chiropractor | 30332 Highway 441 S, Commerce, GA 30529 | 2006-10-24 |
| 1194805689 | Brian Eugene Vandiver | Physical Therapist | 40095 Us Highway 441, Elite Physical Therapy, Commerce, GA 30529 | 2006-10-17 |
| Find all providers in zip 30529 | ||||
| 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 |
|---|---|---|---|---|
| 1861840647 | Shining Star Therapy Services, LLC | Speech-Language Pathologist | 516 Oconee Ln, Commerce, GA 30529-4182 | 2016-06-02 |
| 1538637160 | Britni D Clayton | Speech-Language Pathologist | 2901 Sterling Hart Dr, Commerce, TX 75428-3911 | 2018-11-13 |
| 1336620095 | Meagan Elizabeth Madere | Speech-Language Pathologist | 2901 Sterling Hart Dr, Commerce, TX 75428-3911 | 2018-08-22 |
| 1134458326 | Mariana C. Sangiovanni | Speech-Language Pathologist | 500 Citadel Dr, Commerce, CA 90040-1575 | 2009-12-16 |
| 1356559967 | Kathryn L Sanders | Speech-Language Pathologist | 2544 Mangum St, Commerce, TX 75428-3515 | 2007-05-18 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.