Individual provider Active NPI

Jenna Stoff, M.S.

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1265030522
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP7541 Issued in NM
Practice address
9500 Montgomery Blvd NE Ste 215
Albuquerque, NM 87111-2579
Phone
(505) 247-4224
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X CF7233 NM
Speech-Language Pathologist 235Z00000X SLP7541 NM Primary

Addresses

Primary practice location

9500 Montgomery Blvd NE Ste 215
Albuquerque, NM 87111-2579

Mailing address

9500 Montgomery Blvd NE Ste 215
Albuquerque, NM 87111-2579
Phone (505) 999-7873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211229000577 NM Practitioner - Qualified Speech Language Pathologist 5395136428 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CF7233NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Speech Language and Hearing Center CurrentSince May 5, 2023 Accepting new patients

Locations

9500 Montgomery Blvd NE
Ste 215
Albuquerque, NM 87111
Phone (505) 247-4224

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": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1265030522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MONTGOMERY BLVD NE STE 215",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112579",
            "telephone_number": "505-999-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MONTGOMERY BLVD NE STE 215",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112579",
            "telephone_number": "505-247-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFF",
        "first_name": "JENNA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "CF7233",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP7541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.