Active NPI
Jennifer Gail Osborne
- Speech-Language Pathologist
- Scottsdale, AZ
National Provider Identifier
1780130112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP10236
- Practice address
- 11375 E Sahuaro Dr Apt 1093
Scottsdale, AZ 85259-4084 - Phone
- (602) 777-0427
- NPI assigned
- Aug 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Speech-Language Pathologist | 235Z00000X | SLP10236 | AZ | Primary |
Addresses
Primary practice location
11375 E Sahuaro Dr Apt 1093
Scottsdale, AZ 85259-4084
Mailing address
11375 E Sahuaro Dr Apt 1093
Scottsdale, AZ 85259-4084
Phone (602) 777-0427
Other practice location 1
16455 E Avenue Of The Fountains
Fountain Hills, AZ 85268-8307
Phone (480) 816-5805
Other practice location 2
19303 N New Tradition Rd
Sun City West, AZ 85375-3806
Phone (623) 547-5088
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP10236 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1780130112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11375 E SAHUARO DR APT 1093",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852594084",
"telephone_number": "602-777-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11375 E SAHUARO DR APT 1093",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852594084",
"telephone_number": "602-777-0427"
}
],
"practiceLocations": [
{
"address_1": "16455 E Avenue Of The Fountains",
"address_purpose": "LOCATION",
"city": "Fountain Hills",
"state": "AZ",
"postal_code": "852688307",
"country_code": "US",
"telephone_number": "480-816-5805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19303 N New Tradition Rd",
"address_purpose": "LOCATION",
"city": "Sun City West",
"state": "AZ",
"postal_code": "853753806",
"country_code": "US",
"telephone_number": "623-547-5088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSBORNE",
"first_name": "JENNIFER",
"middle_name": "GAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP10236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.