Active NPI
Jennifer Renae Teslow, CCC-SLP
- Speech-Language Pathologist
- Sioux Falls, SD
National Provider Identifier
1568097335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 871-SLP
- Practice address
- 2710 W 12TH St
Sioux Falls, SD 57104-3701 - Phone
- (605) 328-5900
- NPI assigned
- Mar 11, 2020
- 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 | 871-SLP | SD | Primary |
Addresses
Primary practice location
2710 W 12TH St
Sioux Falls, SD 57104-3701
Mailing address
2432 E Meadowside PL
Sioux Falls, SD 57108-3705
Phone (605) 759-4387
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Epic |
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 |
|---|---|---|---|
| 871-SLP | SD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1568097335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 E MEADOWSIDE PL",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571083705",
"telephone_number": "605-759-4387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 W 12TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571043701",
"telephone_number": "605-328-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESLOW",
"first_name": "JENNIFER",
"middle_name": "RENAE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SD",
"license": "871-SLP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Epic",
"affiliation": "N",
"address_1": "2710 W 12th St",
"city": "Sioux Falls",
"state": "SD",
"country_code": "US",
"postal_code": "571043701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.