Individual provider Active NPI

Jaclyn Neese Groenewoud, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Asheville, NC
National Provider Identifier
1043895428
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13398 Issued in NC
Practice address
2360 Sweeten Creek Rd
Asheville, NC 28803-2030
Phone
(828) 274-4800
NPI assigned
Mar 16, 2021
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 13398 NC Primary

Addresses

Primary practice location

2360 Sweeten Creek Rd
Asheville, NC 28803-2030

Mailing address

15 Montaugue St
Arden, NC 28704-8328
Phone (828) 483-2339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13398NCMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1043895428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MONTAUGUE ST",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287048328",
            "telephone_number": "828-483-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 SWEETEN CREEK RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032030",
            "telephone_number": "828-274-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROENEWOUD",
        "first_name": "JACLYN",
        "middle_name": "NEESE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.