Jennifer Wagner, Ma, CCC-SLP: Pediatric Speech and Language Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

JENNIFER WAGNER, MA, CCC-SLP: PEDIATRIC SPEECH AND LANGUAGE SERVICES

Practice address

3417 Evanston Ave N Ste 311
Seattle, WA 98103-8967

Phone

(206) 227-7199

NPI assigned

Nov 28, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Wagner, MA, CCC-SLPNPI 1871890681

Title

Owner

Phone

(206) 227-7199

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer C Wagner, CCC-SLP

  • Speech-Language Pathologist
  • Seattle, WA
  • NPI 1871890681
  NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1710697099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N STE 311",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038967",
            "telephone_number": "206-227-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N STE 311",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038967",
            "telephone_number": "206-227-7199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Nickerson St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981091631",
            "country_code": "US",
            "telephone_number": "206-227-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENNIFER WAGNER, MA, CCC-SLP: PEDIATRIC SPEECH AND LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-227-7199",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennings Physical Therapy, Inc
• Casilda Jennings Vigil, ARNP
• Aimee C Jennings, CPNP
• Anna Marie Jennings, LMT
• Caeli Jennings, RN

• Speech-Language Pathologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.