Individual provider Active NPI

Jennifer Renae Teslow, CCC-SLP

  • Speech-Language Pathologist
  • Sioux Falls, SD
National Provider Identifier
1568097335
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
871-SLP Issued in SD
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

Updated by the provider on Mar 11, 2020

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 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
871-SLPSDMDSpeech-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.

Verify at the official NPI Registry.