Individual provider Active NPI

Jennifer Lynn Silbor, BS SLP

  • Speech-Language Pathologist
  • Surprise, AZ
National Provider Identifier
1245379692
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPL4069 Issued in AZ
Practice address
17460 W Evans Dr
Surprise, AZ 85388-7756
Phone
(602) 679-9905
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 SLPL4069 AZ Primary

Addresses

Primary practice location

17460 W Evans Dr
Surprise, AZ 85388-7756

Mailing address

17460 W Evans Dr
Surprise, AZ 85388-7756
Phone (602) 679-9905

Other identifiers 1

IdentifierTypeStateIssuer
710253MedicaidAZ

Other names 1

  • Jennifer Lynn Solberg Former name

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
SLPL4069AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245379692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17460 W EVANS DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853887756",
            "telephone_number": "602-679-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17460 W EVANS DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853887756",
            "telephone_number": "602-679-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILBOR",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "BS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPL4069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710253",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SOLBERG",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

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