JENNIFER VIDAL (NPI# 1568979011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568979011 |
| Entity Type | Individual |
| Full Name | JENNIFER VIDAL |
| Other Name | JENNIFER TRUBIN |
| Credential | CCC-SLP |
| Practice Address |
5 Middlesex Ave Somerville MA 02145-1102 |
| Mailing Address |
407 D St Unit 316 Boston MA 02210-1943 |
| Practice Telephone | 6175914602 |
| Mailing Telephone | 9083996965 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 77234 | MA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605098 | Jennifer Vidal | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-30 |
| 1649565201 | Jennifer Lyn Vidal | Pediatrics | 332 Harrison Ave, Harrison, NJ 07029-1775 | 2011-06-12 |
| Street Address |
5 MIDDLESEX AVE |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02145-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770138893 | Aleah Rose Carvotta | Registered Nurse | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2019-08-06 |
| 1376034223 | Kseniya Naturina Fenner | Speech-Language Pathologist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2018-05-27 |
| 1730684796 | Meghan Heydt | Speech-Language Pathologist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2018-03-29 |
| 1922510122 | Adriana Cristina Soro Isaac | Physical Therapy Assistant | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2017-10-27 |
| 1023541042 | Lianne Lucontoni | Registered Nurse | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2017-04-06 |
| 1194265330 | Meagan Doherty | Speech-Language Pathologist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2017-03-07 |
| 1013454016 | Rita Onyero Agholor | Nurse Practitioner | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2017-01-27 |
| 1689118762 | Caitlin Leonard | Physical Therapy Assistant | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2016-12-08 |
| 1518418540 | Katherine Frances Baratta | Physical Therapist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2016-10-14 |
| 1831640754 | Kaitlyn Moropoulos | Physical Therapy Assistant | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2016-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497230684 | Marisa Katherine Glynn | Psychologist | 35 Edgar Avenue, Somerville, MA 02145 | 2018-10-03 |
| 1811478274 | Rolanda Santos Prophete | Counselor | 18 Sargent Ave, Somerville, MA 02145 | 2018-08-23 |
| 1619465101 | Shannon Comer | Registered Nurse | 64 Sycamore St Apartment 1, Somerville, MA 02145 | 2018-04-30 |
| 1184121261 | Deborah Camara | Social Worker | 89 Cross Street, Apt 1, Somerville, MA 02145 | 2018-04-06 |
| 1073047569 | Nicole Patzelt | Dermatology | 192a School St Apt 2, Somerville, MA 02145 | 2017-04-12 |
| 1316327018 | Christina Gasbarro | Family Medicine | Cha Assembly Square Care Center, 5 Middlesex Avenue, Somerville, MA 02145 | 2015-06-08 |
| 1902236359 | Prativa Bhatta | Counselor | 76 Cross St, Somerville, MA 02145 | 2013-11-21 |
| 1427497015 | Veronica Wu | Physician Assistant | 60 Clyde Street, #5, Somerville, MA 02145 | 2013-06-18 |
| 1790045797 | Cambridge Health Alliance | Rehabilitation Unit | 2 Middlesex Avenue, Somerville, MA 02145 | 2012-05-23 |
| 1871809665 | Lauren Holland | Occupational Therapist | 5 Middlesex Avenue, Somerville, MA 02145 | 2010-08-31 |
| Find all providers in zip 02145 | ||||
| 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 |
|---|---|---|---|---|
| 1023616042 | Elizabeth Varall | Speech-Language Pathologist | 21 E High St Ste 2, Somerville, NJ 08876-2320 | 2020-10-12 |
| 1821605221 | Allison Reid | Speech-Language Pathologist | 15 Quincy St Apt 6, Somerville, MA 02143-1751 | 2020-09-29 |
| 1801400296 | Sabrina Elizabeth Rose | Speech-Language Pathologist | 43 Kent St Apt 3, Somerville, MA 02143-3771 | 2020-09-02 |
| 1164035630 | Madeline Pennebaker | Speech-Language Pathologist | 16 Buckingham St Apt 2, Somerville, MA 02143-4313 | 2020-08-25 |
| 1730728999 | Christine Paige Robbins | Speech-Language Pathologist | 21 E High St, 2nd Floor, Somerville, NJ 08876 | 2020-01-04 |
| 1174081624 | Jillian Rizzuto | Speech-Language Pathologist | 3 Quincy St Apt 5, Somerville, MA 02143-1747 | 2019-03-04 |
| 1124555040 | Kristin Lynn Gianfalla | Speech-Language Pathologist | 14 Lincoln Pkwy Apt 3, Somerville, MA 02143-3923 | 2017-05-23 |
| 1659823904 | Kathryn Egan | Speech-Language Pathologist | 47 Cedar St Apt 3, Somerville, MA 02143-2240 | 2016-11-02 |
| 1932562378 | Serena Yure | Speech-Language Pathologist | 192 Willow Ave, Apt. 3, Somerville, MA 02144-2326 | 2016-04-02 |
| 1780067462 | Kayla Dowd | Speech-Language Pathologist | 259 Summer St, Apt. 7, Somerville, MA 02143-2226 | 2015-06-30 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02145 |
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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.