Jared Woodruff

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP 10101 Issued in AZ

Practice address

8633 W John Cabot Rd
Peoria, AZ 85382-0879

Phone

(623) 412-4875

NPI assigned

Aug 18, 2016

Sex

Male

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1992250062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14109 N 83RD AVE APT 181",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814789",
            "telephone_number": "540-842-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8633 W JOHN CABOT RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853820879",
            "telephone_number": "623-412-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "JARED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP 10101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Wong
• Lindsay Wong, PA-S
• Yeonjung Woo, PMHNP-BC
• Jamie Wood, RN
• Terry Craven Wood
• Laura Woodruff, LCSW
• Parker Woodruff, DMD
• Justin Woods, MD
• Kaylee Ann Woodson, MS
• Woolf Spinal Health & Rehab. PLLC

• Speech-Language Pathologist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.