Individual provider Active NPI

Joan Y. Enns, M. A.

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1467594556
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP3283 Issued in CA
Practice address
6140 Camino Verde Dr
Suite K
San Jose, CA 95119-1401
Phone
(408) 229-7030
Fax
(408) 229-7033
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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 SP3283 CA Primary

Addresses

Primary practice location

6140 Camino Verde Dr
Suite K
San Jose, CA 95119-1401

Mailing address

6140 Camino Verde Dr
Suite K
San Jose, CA 95119-1401
Phone (408) 229-7030

Other identifiers 3

IdentifierTypeStateIssuer
SP0032830MedicaidCA
CPG086900OtherCACALIFORNIA CHILDREN'S SER
SP3283OtherCASTATE LICENSE

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

LicenseStateTypeSpecialty
SP3283CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1467594556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 CAMINO VERDE DR",
            "address_2": "SUITE K",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191401",
            "telephone_number": "408-229-7030",
            "fax_number": "408-229-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 CAMINO VERDE DR",
            "address_2": "SUITE K",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191401",
            "telephone_number": "408-229-7030",
            "fax_number": "408-229-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNS",
        "first_name": "JOAN",
        "middle_name": "Y.",
        "name_prefix": "Ms.",
        "credential": "M. A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP3283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP0032830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CHILDREN'S SER",
            "identifier": "CPG086900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SP3283",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.