Active NPI
Jennifer E Skladanowski, MA, CCC-SLP
- Speech-Language Pathologist
- Bolivia, NC
National Provider Identifier
1386906345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1206162
- Practice address
- 35 Referendum Dr NE
Bolivia, NC 28422-7578 - Phone
- (910) 406-5100
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 1206162 | NC | Primary |
Addresses
Primary practice location
35 Referendum Dr NE
Bolivia, NC 28422-7578
Mailing address
7415 Powder Keg CT
Wilmington, NC 28411-7254
Phone (812) 630-0944
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1206162 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1386906345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7415 POWDER KEG CT",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284117254",
"telephone_number": "812-630-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 REFERENDUM DR NE",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284227578",
"telephone_number": "910-406-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKLADANOWSKI",
"first_name": "JENNIFER",
"middle_name": "E",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "1206162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolivia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.