Active NPI
Jennifer Ann Lopez, MS CCC-SLP
- Speech-Language Pathologist
- San Francisco, CA
National Provider Identifier
1952544827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12079
- Practice address
- 2722 Gough St
San Francisco, CA 94123-4405 - Phone
- (415) 775-5511
- Fax
- (415) 775-5521
- NPI assigned
- Apr 8, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12079 | CA | Primary |
Addresses
Primary practice location
2722 Gough St
San Francisco, CA 94123-4405
Mailing address
2722 Gough St
San Francisco, CA 94123-4405
Phone (415) 775-5511
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12079 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just Kids Learning Center | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- San Francisco, CA
- NPI 1407038110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1952544827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2722 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234405",
"telephone_number": "415-775-5511",
"fax_number": "415-775-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234405",
"telephone_number": "415-775-5511",
"fax_number": "415-775-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-08",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "12079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.