SARA JENSEN (NPI# 1770193716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770193716 |
| Entity Type | Individual |
| Full Name | SARA JENSEN |
| Credential | CCC-SLP |
| Practice Address |
130 N Gross Rd Ste 125 Kingsland GA 31548-6263 |
| Mailing Address |
4212 Coral Park Dr Brunswick GA 31520-3016 |
| Practice Telephone | 9123428875 |
| Practice Fax Number | 9122650041 |
| Mailing Telephone | 9123428875 |
| Mailing Fax Number | 9122650041 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP011171 | GA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729957 | Sara Jensen | Registered Nurse | 5715 Baltimore Dr Unit 139, La Mesa, CA 91942-4247 | 2020-10-30 |
| 1235791229 | Sara Jensen | Physical Therapist | 1405 N 205th St Ste 140, Elkhorn, NE 68022-4740 | 2019-07-01 |
| 1295150134 | Sara Jensen | Occupational Therapist | 161 W 74th St, Apt. 3a, New York, NY 10023-2217 | 2014-03-02 |
| 1962736298 | Sara J Jensen | Counselor | 425 2nd Ave Sw, Albany, OR 97321-2482 | 2009-09-18 |
| Street Address |
130 N GROSS RD STE 125 |
| City | KINGSLAND |
| State | GA |
| Zip Code | 31548-6263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427692458 | Mary Delage | Occupational Therapist | 130 N Gross Rd Ste 125, Kingsland, GA 31548-6263 | 2019-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984611 | Shelby Nichole Gambill | Nurse Practitioner | 103 Lake Palms Dr, Kingsland, GA 31548 | 2019-10-18 |
| 1629536339 | The Behavior Placellc | Behavior Technician | 103 Johansen Way, Kingsland, GA 31548 | 2019-03-12 |
| 1588020234 | Keywanna Nichole Price | Nurse Practitioner | 571 Henrietta St, Kingsland, GA 31548 | 2016-01-11 |
| 1083086243 | Sorinity Support Services, LLC | Nurse's Aide | 801 Hwy 40 East Ste A-139, Kingsland, GA 31548 | 2015-10-28 |
| 1740661594 | Briana Gray | Family Medicine | 1375 E King Ave Ste B, Kingsland, GA 31548 | 2015-06-17 |
| 1649670530 | Kimberly Grande | Physical Therapist | 100 B Lindsey Lane, Kingsland, GA 31548 | 2014-08-27 |
| 1598044307 | Margaret Peek Powell | Counselor | 100 Mariners Dr. Suite D, Kingsland, GA 31548 | 2011-08-10 |
| 1376850545 | Heavenly Devine Blessing | Home Delivered Meals | 105 North Lee Street, Kingsland, GA 31548 | 2010-09-08 |
| 1053649657 | Melissa Anne White | Nurse Practitioner | 701 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548 | 2009-11-20 |
| 1629203690 | Genevieve Matherne | Occupational Therapist | 100b Lindsey Lane, Kingsland, GA 31548 | 2009-05-20 |
| Find all providers in zip 31548 | ||||
| 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 |
|---|---|---|---|---|
| 1699026500 | Lisa Beth Schopf | Speech-Language Pathologist | 69 Lindsey Ln, Ste. A, Kingsland, GA 31548-6901 | 2012-10-02 |
| 1437327970 | Jennifer Wall Adams | Speech-Language Pathologist | 115 E Lakemont Dr, Kingsland, GA 31548-6713 | 2008-02-19 |
| 1598822538 | Patricia A Sullivan | Speech-Language Pathologist | 2475 Village Dr Ste 107, Kingsland, GA 31548-6729 | 2007-01-02 |
| 1326045006 | Mary Kathleen Giesbrecht | Speech-Language Pathologist | 102 Lake View Ct, Kingsland, GA 31548-7809 | 2005-07-07 |
| 1033115225 | Keli L Mcmullen | Speech-Language Pathologist | 140 The Lakes Blvd, Ste C, Kingsland, GA 31548-6814 | 2005-06-22 |
| 1750628780 | Robin Hunter | Speech-Language Pathologist | 69 Lindsey Ln, Ste. A, Kingsland, GA 31548-6901 | 2013-01-10 |
| 1750665865 | Tonya Riley | Speech-Language Pathologist | 130 N Gross Rd, Kingsland, GA 31548-6262 | 2011-10-07 |
| 1124185244 | April T Arnett | Speech-Language Pathologist | 2475 Village Dr Ste 107, Kingsland, GA 31548-6729 | 2007-01-02 |
| 1861559882 | Lois Taylor | Speech-Language Pathologist | 2475 Village Dr Ste 107, Kingsland, GA 31548-6729 | 2007-01-02 |
| 1053318733 | Sara Lentz | Speech-Language Pathologist | 140 Lakes Blvd, Suite C, Kingsland, GA 31548-6813 | 2005-07-07 |
| Find all providers in KINGSLAND | ||||
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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.