KATIE ALYSSA JENKINS - NPI 1114568847 - Speech-Language Pathologist in Valdosta, GA

Q: What is Katie Jenkins's NPI number?

The NPI number for Katie Jenkins is 1114568847. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Q: What is Katie Jenkins's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Katie Jenkins was last updated on October 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Katie Alyssa Jenkins NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE ALYSSA JENKINS (NPI 1114568847) is an individual speech-language pathologist provider in Valdosta, Georgia, licensed in Georgia (PCET002847) and active in the NPI registry since October 2019. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1114568847

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKATIE ALYSSA JENKINS

Location Address2704 N OAK ST BLDG A2Valdosta, GA 31602-5900

Mailing Address2704 N Oak St Bldg A2Valdosta, GA 31602-5900 · (229) 253-1009 · Fax (229) 253-1039

Phone(229) 253-1009

Fax(229) 253-1039

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 3, 2019

✔ NPI 1114568847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in GA · PCET002847

Definition

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.

2704 N OAK ST BLDG A2, Valdosta, GA 31602

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Alyssa Jenkins is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002307253

PECOS Enrollment IDI20251114003177

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA ALESE MORRIS

Speech-Language Pathologist