Individual provider Active NPI

Jennifer L Homer, SLP

  • Speech-Language Pathologist
  • Tyler, TX
National Provider Identifier
1699436063
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
119222 Issued in TX
Practice address
3310 S Broadway Ave Ste 100I
Tyler, TX 75701-7818
Phone
(903) 781-1832
Fax
(877) 798-4959
NPI assigned
Jan 6, 2022
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 119222 TX Primary

Addresses

Primary practice location

3310 S Broadway Ave Ste 100I
Tyler, TX 75701-7818

Mailing address

19142 Big Timber Rd
Tyler, TX 75703-8610
Phone (903) 780-3505

Other practice location 1

6141 Paluxy Dr Ste 132
Tyler, TX 75703-5976
Phone (903) 781-1832

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
119222TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bo Keeling, PLLC Speech-Language Pathologist PastSince Nov 17, 2024 Accepting new patients

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": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1699436063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19142 BIG TIMBER RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757038610",
            "telephone_number": "903-780-3505",
            "fax_number": "877-798-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 S BROADWAY AVE STE 100I",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017818",
            "telephone_number": "903-781-1832",
            "fax_number": "877-798-4959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6141 Paluxy Dr Ste 132",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757035976",
            "country_code": "US",
            "telephone_number": "903-781-1832",
            "fax_number": "877-798-4959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.