Individual provider Active NPI

Jennifer Burton Sterzbach, SLP

  • Speech-Language Pathologist
  • Prescott, AZ
National Provider Identifier
1194920975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP 5157 Issued in AZ
Practice address
340 N Mount Vernon Ave
Prescott, AZ 86301-2620
Phone
(928) 776-4349
Fax
(928) 776-1369
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SLP 5157 AZ Primary

Addresses

Primary practice location

340 N Mount Vernon Ave
Prescott, AZ 86301-2620

Mailing address

340 N Mount Vernon Ave
Prescott, AZ 86301-2620
Phone (928) 776-4349

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
SLP 5157AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Early Intervention Inc Speech-Language Pathologist PastSince Sep 9, 2019 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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194920975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N MOUNT VERNON AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012620",
            "telephone_number": "928-776-4349",
            "fax_number": "928-776-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N MOUNT VERNON AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012620",
            "telephone_number": "928-776-4349",
            "fax_number": "928-776-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERZBACH",
        "first_name": "JENNIFER",
        "middle_name": "BURTON",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP 5157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

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.

Verify at the official NPI Registry.