Individual provider Active NPI

Jennifer Ostreicher

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1447515192
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP7784 Issued in AZ
Practice address
3401 N 67TH Ave
Phoenix, AZ 85033-4517
Phone
(623) 691-4000
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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 TSLP7784 AZ Primary

Addresses

Primary practice location

3401 N 67TH Ave
Phoenix, AZ 85033-4517

Mailing address

600 N 4TH St
Apt 406
Phoenix, AZ 85004-4479
Phone (480) 209-0053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718001875 AZ Practitioner - Qualified Speech Language Pathologist 5799221438 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TSLP7784AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheels on the Bus, Inc. CurrentSince May 1, 2024 Accepting new patients

Locations

11811 N Tatum Blvd
Ste 3031
Phoenix, AZ 85028
Phone (480) 589-2890

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1447515192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 4TH ST",
            "address_2": "APT 406",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044479",
            "telephone_number": "480-209-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N 67TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850334517",
            "telephone_number": "623-691-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTREICHER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP7784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.