Jeanette Weivoda

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA16301 Issued in AZ

Practice address

13167 W Mulberry Dr
Litchfield Park, AZ 85340-5900

Phone

(623) 210-8910

NPI assigned

Jun 13, 2025

Last updated

Jun 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1871489187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13167 W MULBERRY DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405900",
            "telephone_number": "623-210-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13167 W MULBERRY DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405900",
            "telephone_number": "623-210-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIVODA",
        "first_name": "JEANETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA16301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Warren, D.D.S.
• Reuben James Washington, M.D.,P.C.
• Mika Watanabe, PA-C
• Jennifer Webb, LPN
• Wee Care Corporation
• Julie Welsh, RBT
• West Valley Chiropractic PC
• West Valley Orthodontics, PC
• West Valley Pediatric Dentistry
• West Valley Psychological Services, LLC (West Valley Family Development Center)

• Speech-Language Assistant in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.