Jennifer Wright

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16564 Issued in CA

Practice address

632 W 11TH St Ste 119
Tracy, CA 95376-3860

Phone

(209) 237-2484

NPI assigned

Nov 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1780393421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 W 11TH ST STE 119",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763860",
            "telephone_number": "209-237-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W 11TH ST STE 119",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763860",
            "telephone_number": "209-237-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Wong, LMFT
• Garmen A Woo, M.D.
• Kyndra Woodall
• Alyssa Woodard
• Shanice Woods
• Anita Xue, M.D.
• Ik Jae Yang
• Xiaorui Yang
• Ennely A Yannacone
• Hamida Yaquobi, RBT

• Speech-Language Pathologist in Tracy, CA
• Providers in Tracy, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.