Active NPI
Jennifer Margaret Buckler, MS.,CCC-SLP
- Speech-Language Pathologist
- Glendale, AZ
National Provider Identifier
1497883417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP1547
- Practice address
- 6330 W Thunderbird Rd
Glendale, AZ 85306-4002 - Phone
- (623) 486-6000
- NPI assigned
- Mar 1, 2007
- Last updated
- Jul 9, 2007
- 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 | SLP1547 | AZ | Primary |
Addresses
Primary practice location
6330 W Thunderbird Rd
Glendale, AZ 85306-4002
Mailing address
9031 W Tony CT
Peoria, AZ 85382-8109
Phone (623) 815-7961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104539 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP1547 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peoria Unified School District | Past | Accepting new patients | |
| Peoria Unified School District #11 | Past | Accepting new patients | |
| Midwestern University | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Midwestern University Multispecialty Clinic
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1932206414
-
- Case Management Agency
- Glendale, AZ
- NPI 1518123397
-
- Local Education Agency (LEA)
- Glendale, AZ
- NPI 1790807626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1497883417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9031 W TONY CT",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853828109",
"telephone_number": "623-815-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 W THUNDERBIRD RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064002",
"telephone_number": "623-486-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLER",
"first_name": "JENNIFER",
"middle_name": "MARGARET",
"name_prefix": "Mrs.",
"credential": "MS.,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP1547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104539",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.