Individual provider Active NPI

Jennifer Ashley Zornow, SLP-A

  • Speech-Language Assistant
  • Phoenix, AZ
National Provider Identifier
1124463690
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA7902 Issued in AZ
Practice address
4545 N 36TH St
125A
Phoenix, AZ 85018-3462
Phone
(602) 224-0202
NPI assigned
May 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA7902 AZ Primary

Addresses

Primary practice location

4545 N 36TH St
125A
Phoenix, AZ 85018-3462

Mailing address

17722 N 79TH Ave
2009
Glendale, AZ 85308-8668

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

State licenses

LicenseStateTypeSpecialty
SLPA7902AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Institute for Communication & Cognitive Disorders Inc PastSince Jan 17, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1124463690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17722 N 79TH AVE",
            "address_2": "2009",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST",
            "address_2": "125A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183462",
            "telephone_number": "602-224-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORNOW",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "credential": "SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA7902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.