Jennifer Lynn Gloerstad, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP6159 Issued in AZ

Practice address

25615 N Ranch Gate Rd
Scottsdale, AZ 85255-2141

Phone

(480) 502-7726

Fax

(480) 513-4628

NPI assigned

Apr 3, 2009

Last updated

Apr 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Sunshine Speech-Language Therapy Services, Inc.

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1861563223
  NPD (past)

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1689816704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25615 N RANCH GATE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552141",
            "telephone_number": "480-502-7726",
            "fax_number": "480-513-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25615 N RANCH GATE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552141",
            "telephone_number": "480-502-7726",
            "fax_number": "480-513-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOERSTAD",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP6159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE",
            "identifier": "SLP6159",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Global Vision Sources Inc.
• Global Vision Sources Inc.
• Globalrehab-Scottsdale, LLC (HonorHealth Rehabilitation Hospital)
• Globaltranz Family Health Clin
• Globosphere Enterprise LLC
• Gloria Dorsett (Dorsett Residence)
• Gloria M Cochran PHD PLC
• Taylor Glover
• Matt C Gloyd, DPT
• Marci E Gluck, PHD

• Speech-Language Pathologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.