Santa Rosa Speech Therapy, PC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SANTA ROSA SPEECH THERAPY, PC

Practice address

1212 College Ave Ste a
Santa Rosa, CA 95404-3977

Phone

(707) 547-7630

NPI assigned

Jun 16, 2022

Organization subpart

Yes

Parent organization

SANTA ROSA SPEECH THERAPY, PCAs reported in NPPES

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

Authorized official

Name

Jennifer Alwood, MS, CCC-SLPNPI 1982352605

Title

President/Speech Language Pathologi

Phone

(707) 547-7630

Specialties & licenses 1

Addresses

Other names 2

• Santa Rosa Speech and Langauge Services Doing business as
• Santa Rosa Speech and Language Services Doing business as

Part of

Santa Rosa Speech Therapy PC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Nevolo Alwood

  • Speech-Language Pathologist
  • Santa Rosa, CA
  • NPI 1982352605
  NPD Authorized official

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1104556570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6733 LAVON CT",
            "city": "FORESTVILLE",
            "state": "CA",
            "postal_code": "954369411",
            "telephone_number": "707-547-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 COLLEGE AVE STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043977",
            "telephone_number": "707-547-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA SPEECH THERAPY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA ROSA SPEECH THERAPY, PC",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "ALWOOD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT/SPEECH LANGUAGE PATHOLOGI",
        "authorized_official_telephone_number": "707-547-7630",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Rosa Speech and Langauge Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santa Rosa Speech and Language Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.