Individual provider Active NPI

Jacqueline Hernandez Rew, M ED MS CCC SLP

  • Speech-Language Pathologist
  • The Woodlands, TX
National Provider Identifier
1275614190
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15652 Issued in TX
Practice address
2202 Riva Row Apt 4109
The Woodlands, TX 77380-3145
Phone
(281) 686-0460
NPI assigned
Oct 18, 2006
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 15652 TX Primary

Addresses

Primary practice location

2202 Riva Row Apt 4109
The Woodlands, TX 77380-3145

Mailing address

2202 Riva Row Apt 4109
The Woodlands, TX 77380-3145
Phone (281) 686-0460

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jrew@conroeisd.net Direct

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
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Services Direct Speech-Language Pathologist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1275614190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 RIVA ROW APT 4109",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803145",
            "telephone_number": "281-686-0460",
            "fax_number": "281-288-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 RIVA ROW APT 4109",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803145",
            "telephone_number": "281-686-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REW",
        "first_name": "JACQUELINE",
        "middle_name": "HERNANDEZ",
        "name_prefix": "Mrs.",
        "credential": "M ED MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "15652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jrew@conroeisd.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "2202 Riva Row Apt 4109",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773803145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.