Individual provider Active NPI

Jennifer Lynn Hunefeld, SLP

  • Speech-Language Pathologist
  • Redmond, OR
National Provider Identifier
1720277080
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012916 Issued in OR
Practice address
145 SE Salmon Dr
Redmond, OR 97756-8427
Phone
(541) 526-6400
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12916 OR
Speech-Language Pathologist 235Z00000X 012916 OR Primary

Addresses

Primary practice location

145 SE Salmon Dr
Redmond, OR 97756-8427

Mailing address

145 SE Salmon Dr
Redmond, OR 97756-8427
Phone (541) 526-6400

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
12916ORMDMassage Therapist
012916ORMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1720277080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SE SALMON DR",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977568427",
            "telephone_number": "541-526-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SE SALMON DR",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977568427",
            "telephone_number": "541-526-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNEFELD",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12916",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "012916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.