Individual provider Active NPI

Jennifer Leigh Schlendorf, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Holladay, UT
National Provider Identifier
1518347186
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11226395-4102 Issued in UT
Practice address
2240 E Laney Ave Apt 102
Holladay, UT 84117-5973
Phone
(732) 232-8671
NPI assigned
Jun 9, 2015
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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 11226395-4102 UT Primary

Addresses

Primary practice location

2240 E Laney Ave Apt 102
Holladay, UT 84117-5973

Mailing address

2240 E Laney Ave Apt 102
Holladay, UT 84117-5973
Phone (732) 232-8671

Other names 1

  • Ms. Jennifer Leigh Schlendorf Professional name

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 Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1518347186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 E LANEY AVE APT 102",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175973",
            "telephone_number": "732-232-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E LANEY AVE APT 102",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175973",
            "telephone_number": "732-232-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLENDORF",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "11226395-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SCHLENDORF",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "credential": "M.A. CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.