Active NPI
Jennifer Lynn Wolf, SLPA CERTIFICATE
- Speech-Language Assistant
- Camp Verde, AZ
National Provider Identifier
1508225301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA9835
- Practice address
- 253 E Stolen Blvd
Camp Verde, AZ 86322 - Phone
- (928) 593-0160
- NPI assigned
- Feb 22, 2016
- Last updated
- Feb 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | SLPA9835 | AZ | Primary |
Addresses
Primary practice location
253 E Stolen Blvd
Camp Verde, AZ 86322
Mailing address
PO Box 3402
Camp Verde, AZ 86322-3402
Phone (928) 593-0160
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA9835 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1508225301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3402",
"city": "CAMP VERDE",
"state": "AZ",
"postal_code": "863223402",
"telephone_number": "928-593-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 E STOLEN BLVD",
"city": "CAMP VERDE",
"state": "AZ",
"postal_code": "86322",
"telephone_number": "928-593-0160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "SLPA CERTIFICATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-22",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA9835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Verde, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.