NPIMap

Jennifer James, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Wheeler, TX

NPI 1487326799 · NPPES record last updated Oct 5, 2021

Key facts

NPI
1487326799
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
105824 (TX)
Practice address
1 Mustang Drive
Wheeler, TX 79096
Phone
(806) 826-5241
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
105824TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeler Isd Past
since Oct 10, 2021		 Accepting new patients
Canadian Isd Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 105824 TX Yes

Addresses

Primary practice location

1 Mustang Drive
Wheeler, TX 79096

Mailing address

517 S Wall St
Shamrock, TX 79079-2630
Phone (806) 256-2592

Other practice location 1

800 Warrior Way
Miami, TX 79059
Phone (806) 868-3971

Other practice location 2

800 Hillside Ave
Canadian, TX 79014-3233
Phone (806) 323-5393

Other providers in Wheeler, TX

All providers in Wheeler, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.