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1710693718 NPI number — JENNA MESSIER MS, CCC-SLP

NPI Number: 1710693718
Health Care Provider/Practitioner: JENNA MESSIER MS, CCC-SLP

Information about “1710693718” NPI (JENNA MESSIER MS, CCC-SLP) exists in 1710693718 in HTML format HTML  |  1710693718 in plain Text format TXT  |  1710693718 in PDF (Portable Document Format) PDF  |  1710693718 in an XML format XML  formats.

NPI Number : 1710693718 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710693718",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MESSIER",
    "FirstName": "JENNA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MS, CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DECKER",
    "OtherFirstName": "JENNA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "12284 W KEN CARYL CIR APT 312",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LITTLETON",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80127-3144",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-298-5808",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1500 LITTLE RAVEN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80202-6248",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-298-5808",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/24/2023",
    "LastUpdateDate": "03/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "SLP.0005095",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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