Jennifer Diana Marie Woodbury, M.D.E.

Primary specialty

Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X

License

400255 Issued in MA

Practice address

1 Whitman Road
Clarke School East
Canton, MA 02021

Phone

(781) 821-3499

Fax

(781) 821-3905

NPI assigned

Oct 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clarke School for the Deaf / Center for Oral Education

  • Speech/Language/Hearing Specialist/Technologist
  • Canton, MA
  • NPI 1437466570
  NPD (past)

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1114178803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BARNARD RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784407",
            "telephone_number": "781-821-3499",
            "fax_number": "781-821-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WHITMAN ROAD",
            "address_2": "CLARKE SCHOOL EAST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "02021",
            "telephone_number": "781-821-3499",
            "fax_number": "781-821-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBURY",
        "first_name": "JENNIFER",
        "middle_name": "DIANA MARIE",
        "name_prefix": "Miss",
        "credential": "M.D.E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "MA",
            "license": "400255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Robert White, PT, DPT
• Daniel Matthew Wilk, DPT
• Taylor R. Williams, RN
• Melissa Wilson, LMHC
• Frances Witham, LICSW
• Victoria S Yampolsky, OD
• Jin Young Yoo
• Lissa Young, PH.D.
• Sandzhar Yusupov
• Z Hinedi MD PC

• Speech/Language/Hearing Specialist/Technologist in Canton, MA
• Providers in Canton, MA by specialty
• Speech/Language/Hearing Specialist/Technologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.