Individual provider Active NPI

Jennifer Anne Sporysz, M.S., SLP

  • Speech-Language Pathologist
  • Hunt Valley, MD
National Provider Identifier
1710635610
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10100 Issued in MD
Practice address
11201 Pepper Rd
Hunt Valley, MD 21031-1201
Phone
(410) 527-9505
NPI assigned
Mar 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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 10100 MD Primary

Addresses

Primary practice location

11201 Pepper Rd
Hunt Valley, MD 21031-1201

Mailing address

2245 Rogene Dr Apt 102
Baltimore, MD 21209-3492
Phone (561) 301-0243

Other names 1

  • Ms. Jennifer Anne Sporysz Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10100MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Pratt Health System Inc. CurrentSince Sep 17, 2023 Accepting new patients
Sheppard Pratt Health System, Inc. PastSince Mar 13, 2022 Accepting new patients

Locations

11201 Pepper Rd
Hunt Valley, MD 21031
Phone (410) 279-8874

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1710635610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 ROGENE DR APT 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093492",
            "telephone_number": "561-301-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 PEPPER RD",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311201",
            "telephone_number": "410-527-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORYSZ",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "M.S., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SPORYSZ",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "M.S., SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.