Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336274133 Individual Practitioner Female Practitioner

Jennifer Susan Smith , MA, CCC-SLP

Speech-Language Pathologist • Rio Rancho, NM

Professional Overview & Biography Verified Profile Summary

Jennifer Smith, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Rio Rancho, NM. Practice services are available at 450 SOUTHERN BLVD SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

450 Southern Blvd Se

Rio Rancho, NM 871243206

Telephone 5059943305
Associated Practice Facility / Clinic
🏢 Smith Interactive Inc Facility NPI 1770125486

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Rio Rancho, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
76 Specialists

Practicing in Rio Rancho, NM (2057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NM 2086

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
81738889 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Emily Herrera , BSN, RN

Registered Nurse

NPI 1194338384

Bachelor of Science in Nursing, Registered Nurse

Mindy Aycock , MS

Speech-Language Pathologist

NPI 1306096359

Master of Science

Erin Goad , LISW

Social Worker

NPI 1689945610

Licensed Independent Social Worker

Lauryn Waits , MS, CFY-SLP

Speech-Language Pathologist

NPI 1699174003

Master of Science, CFYSLP

Emma Boyd , MS, SLP-CF

Speech-Language Pathologist

NPI 1730622259

Master of Science, SLPCF

Laurel Ethier , MS, CCC-SLP

Speech-Language Pathologist

NPI 1760519938

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 450 SOUTHERN BLVD SE, RIO RANCHO, NM 871243206 (Tel: 5059943305)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6909 AUGUSTA HILLS DR NE, RIO RANCHO, NM 871448486 (Tel: 5059943305)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JENNIFER SMITH, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #2086 in NM)

🟢
Initial NPI Registration & Enumeration February 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336274133
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

6909 Augusta Hills Dr Ne

Rio Rancho, NM 871448486

Phone: 5059943305

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.