Individual provider Active NPI

Jennifer Jayme, SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1598969875
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3349 Issued in NM
Practice address
8901 Bluewater Rd NW
Jimmy Carter Ms
Albuquerque, NM 87121-2024
Phone
(505) 833-7540
NPI assigned
Jun 12, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 3349 NM Primary

Addresses

Primary practice location

8901 Bluewater Rd NW
Jimmy Carter Ms
Albuquerque, NM 87121-2024

Mailing address

8901 Bluewater Rd NW
Jimmy Carter Ms
Albuquerque, NM 87121-2024
Phone (505) 833-7540

Other identifiers 1

IdentifierTypeStateIssuer
38658097MedicaidNM

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
3349NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598969875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 BLUEWATER RD NW",
            "address_2": "JIMMY CARTER MS",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871212024",
            "telephone_number": "505-833-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 BLUEWATER RD NW",
            "address_2": "JIMMY CARTER MS",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871212024",
            "telephone_number": "505-833-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYME",
        "first_name": "JENNIFER",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38658097",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

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.

Verify at the official NPI Registry.