Individual provider Active NPI

Jennifer Hoffman, CCC/SLP

  • Speech-Language Pathologist
  • Plano, TX
National Provider Identifier
1861807141
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105135 Issued in TX
Practice address
1410 14TH St
Plano, TX 75074-6302
Phone
(972) 424-0148
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 105135 TX Primary

Addresses

Primary practice location

1410 14TH St
Plano, TX 75074-6302

Mailing address

1410 14TH St
Plano, TX 75074-6302
Phone (972) 424-0148

Other practice location 1

31 Walker Ave
Baltimore, MD 21208-4022
Phone (410) 415-3515

Other names 1

  • Mrs. Jennifer Ann Smith Former name

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
105135TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1861807141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 14TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746302",
            "telephone_number": "972-424-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 14TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746302",
            "telephone_number": "972-424-0148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Walker Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212084022",
            "country_code": "US",
            "telephone_number": "410-415-3515",
            "fax_number": "443-459-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SMITH",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.