JENNIFER DIANNE MAN (NPI# 1396390837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396390837 |
| Entity Type | Individual |
| Full Name | JENNIFER DIANNE MAN |
| Other Name | JENNIFER DIANNE MARTENS |
| Credential | SLPA |
| Practice Address |
14568 W Banff Ln Surprise AZ 85379-4735 |
| Practice Telephone | 6618035697 |
| Mailing Telephone | 6618035697 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA11740 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
14568 W BANFF LN |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85379-4735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818887 | Arizona Heartlands Home Care, LLC | Adult Companion | 14626 W. Wethersfield Rd, Surprise, AZ 85379 | 2020-07-07 |
| 1740832351 | Amanda Deangelis | Specialist/Technologist | 14064 W. Poinsettia Dr., Surprise, AZ 85379 | 2019-07-13 |
| 1720550767 | Anastasia Assisted Living Home LLC | Assisted Living Facility | 12805 N 145th Ave, Surprise, AZ 85379 | 2018-12-31 |
| 1306355821 | National Vision, Inc. | Technician/Technologist | Loop 303, Surprise, AZ 85379 | 2017-09-27 |
| 1306365770 | Christopher Albert Gard | Nurse Practitioner | 15643 W Cameron Dr, Surprise, AZ 85379 | 2017-09-16 |
| 1336667096 | Leon Quoc Lai | Pharmacist | 13723 Litchfield Rd, Surprise, AZ 85379 | 2017-09-01 |
| 1134664451 | Princess Valentin | Nurse Practitioner | 15400 W Waddell Road, Surprise, AZ 85379 | 2016-12-21 |
| 1871952408 | James Care Associates LLC | In Home Supportive Care | 12720 N. 149th Lane, Surprise, AZ 85379 | 2016-02-10 |
| 1669861688 | Todd Cleland | Physical Therapist | 15384 W. Dahlia Drive, Surprise, AZ 85379 | 2015-01-14 |
| 1326442187 | Sarpotdar Orthodontics, Pllc | Dentist | 13775 N. Litchfield Rd, Suite 108, Surprise, AZ 85379 | 2014-10-22 |
| Find all providers in zip 85379 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685241 | Paige Marie Walberg | Specialist/Technologist | 16629 N Greasewood St Apt 139, Surprise, AZ 85378-3686 | 2020-10-07 |
| 1871127118 | Jesus Pereda | Specialist/Technologist | 15322 W Laurel Ln, Surprise, AZ 85379-5268 | 2020-02-25 |
| 1740832351 | Amanda Deangelis | Specialist/Technologist | 14064 W. Poinsettia Dr., Surprise, AZ 85379 | 2019-07-13 |
| 1710548128 | Trish Deana Romano | Specialist/Technologist | 17927 N Parkview Pl Apt 52045204, Surprise, AZ 85374-3441 | 2019-06-26 |
| 1104304229 | Rebecca L Nintzel | Specialist/Technologist | 16233 W Acapulco Cir, Surprise, AZ 85379-5011 | 2018-07-31 |
| 1932606381 | Annamaria Vasquez Ramos | Specialist/Technologist | 16015 N Verde St, Surprise, AZ 85378-4188 | 2018-04-11 |
| 1245748490 | Alyssa Nekkei Sanford | Specialist/Technologist | 16527 W White Wing Rd, Surprise, AZ 85387-6744 | 2018-01-22 |
| 1164962189 | Lora Stolz | Specialist/Technologist | 17031 W Bristol Ln, Surprise, AZ 85374-0805 | 2017-02-24 |
| 1346787215 | Carlee Michelle Tocco | Specialist/Technologist | 15427 W Aster Dr, Surprise, AZ 85379-8116 | 2017-01-30 |
| 1942745872 | Serena Bible | Specialist/Technologist | 17743 W Eugene Ter, Surprise, AZ 85388-5051 | 2017-01-02 |
| Find all providers in SURPRISE | ||||
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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.