JENNIFER DIANNE WADSWORTH (NPI# 1770864977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770864977 |
| Entity Type | Individual |
| Full Name | JENNIFER DIANNE WADSWORTH |
| Credential | CCC-SLP |
| Practice Address |
1700 Lanakila Ave Rm 210 Honolulu HI 96817-2115 |
| Practice Telephone | 8088325688 |
| Practice Fax Number | 8088325698 |
| Mailing Telephone | 8088325688 |
| Mailing Fax Number | 8088325698 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 104644 | TX | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 1162 | HI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275705881 | Jennifer Faye Wadsworth | Counselor | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2008-03-24 |
| Street Address |
1700 LANAKILA AVE RM 210 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659563716 | Tracy Tycer | Occupational Therapist | 1700 Lanakila Ave Rm 210, Honolulu, HI 96817-2115 | 2007-08-13 |
| 1114387131 | Joanne M Quon | Speech-Language Pathologist | 1700 Lanakila Ave Rm 210, Honolulu, HI 96817-2115 | 2016-03-03 |
| 1710258405 | Lanakila Early Childhood Services Program | Early Intervention Provider Agency | 1700 Lanakila Ave Rm 210, Honolulu, HI 96817-2115 | 2012-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| 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 |
|---|---|---|---|---|
| 1346860012 | Kimi Y-k Perez | Speech-Language Pathologist | 1233a 9th Ave, Honolulu, HI 96816-2691 | 2020-04-22 |
| 1821626185 | Cierra Nicole Lussier | Speech-Language Pathologist | 1700 Lanakila Ave Rm 201, Honolulu, HI 96817-2115 | 2020-03-31 |
| 1184272007 | Gwen Mikasa | Speech-Language Pathologist | Office of Student Support Medicaid Reimbursement, 475 22nd Ave, Bldg 302, Room 101, Honolulu, HI 96816 | 2019-09-04 |
| 1013564830 | Tina Thanh Huong Le | Speech-Language Pathologist | 475 22nd Ave # 302, Honolulu, HI 96816-4400 | 2019-08-26 |
| 1588210587 | Mona Ann Hiyoto Akina | Speech-Language Pathologist | 475 2nd Ave., Room 127, Honolulu, HI 96816 | 2019-08-15 |
| 1952957383 | Margarita Bradford | Speech-Language Pathologist | 1131 Ala Lilikoi St, Honolulu, HI 96818-2399 | 2019-08-12 |
| 1609422062 | Travis Satoru Masuda | Speech-Language Pathologist | 1286 Alewa Dr Apt A, Honolulu, HI 96817-7505 | 2019-08-12 |
| 1811543275 | Carole Marie Duran | Speech-Language Pathologist | 475 22nd Ave Rm 119, Honolulu, HI 96816-4400 | 2019-08-12 |
| 1356996599 | Karen Amanda Kama | Speech-Language Pathologist | Office of Student Support Services, 475 22nd Avenue Room 101, Honolulu, HI 96816 | 2019-08-05 |
| 1376197962 | Mallory Register | Speech-Language Pathologist | 475 22nd Avenue, Building 302, Room 101, Honolulu, HI 96816 | 2019-07-31 |
| Find all providers in HONOLULU | ||||
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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.