Active NPI
Jennifer Diane Enote Becker, M.S.CCC-SLP
- Speech-Language Pathologist
- Zuni, NM
National Provider Identifier
1184751653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 000G6294
- Practice address
- 22 Salt Lake Road
Dowa Yalanne Elementary
Zuni, NM 87327 - Phone
- (505) 782-4441
- Fax
- (505) 782-5879
- NPI assigned
- Feb 28, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 000G6294 | NM | Primary |
Addresses
Primary practice location
22 Salt Lake Road
Dowa Yalanne Elementary
Zuni, NM 87327
Mailing address
PO Box 1691
Zuni, NM 87327-1691
Phone (505) 782-4294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000G6294 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000G6294 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184751653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1691",
"city": "ZUNI",
"state": "NM",
"postal_code": "873271691",
"telephone_number": "505-782-4294",
"fax_number": "505-782-5879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 SALT LAKE ROAD",
"address_2": "DOWA YALANNE ELEMENTARY",
"city": "ZUNI",
"state": "NM",
"postal_code": "87327",
"telephone_number": "505-782-4441",
"fax_number": "505-782-5879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENOTE BECKER",
"first_name": "JENNIFER",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "M.S.CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "000G6294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000G6294",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Zuni, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.