Individual provider Active NPI

Jennifer Gail Osborne

  • Speech-Language Pathologist
  • Scottsdale, AZ
National Provider Identifier
1780130112
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP10236 Issued in AZ
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

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SLP10236AZMDSpeech-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.

Verify at the official NPI Registry.