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Active NPI 1639629900 Individual Practitioner Female Practitioner

Jennifer Boutwell , MA, CCC-SLP

Speech-Language Pathologist • Randleman, NC

Professional Overview & Biography Verified Profile Summary

Jennifer Boutwell, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Randleman, NC. Practice services are available at 204 E NAOMI ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

204 E Naomi St

Randleman, NC 273171844

Telephone 3362679046

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Randleman, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Randleman, NC (7242 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 NC SP21639

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2016

Registered at 204 E NAOMI ST, RANDLEMAN, NC 273171844 (Tel: 3362679046)

📍
Updated Business Mailing Address October 10, 2016

Registered at 204 E NAOMI ST, RANDLEMAN, NC 273171844

👤
Provider Name / Credentials Updated October 10, 2016

Recorded as JENNIFER BOUTWELL, MA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2016

Speech-Language Pathologist (License #SP21639 in NC)

🟢
Initial NPI Registration & Enumeration October 10, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1639629900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2016
Last Update: October 10, 2016
Sole Proprietor: Yes

Mailing Address

204 E Naomi St

Randleman, NC 273171844

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.