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JENNIFER ALYX MEDLOCK M.S., CCC-SLP
NPI 1639316722
Speech-Language Pathologist in Cedar Crest, NM

Active since January 12, 2009
20 CEDAR HILL DR, CEDAR CREST, NM 87008(505) 238-4445 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 25, 2024, Jul 16, 2024, Feb 7, 2024 (3 updates tracked since 2024).

About Jennifer Alyx Medlock M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ALYX MEDLOCK M.S., CCC-SLP (NPI 1639316722) is an individual speech-language pathologist provider in Cedar Crest, New Mexico, licensed in New Mexico (3165) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1639316722
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJENNIFER ALYX MEDLOCKCredential: M.S., CCC-SLP
Location Address20 CEDAR HILL DRCedar Crest, NM 87008-9428
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Phone(505) 238-4445
Sole ProprietorYes
Enumeration DateJanuary 12, 2009
Last NPPES UpdateSeptember 25, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1639316722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NM · 3165
Definition
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.
20 CEDAR HILL DR, Cedar Crest, NM 87008
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Alyx Medlock M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Medlock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unm Medical Group Inc
15 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Medlock's NPI number?

The NPI number for Jennifer Medlock is 1639316722. It was assigned to this individual provider in the NPPES registry on January 12, 2009.

Where is Jennifer Medlock located?

Jennifer Medlock practices at 20 Cedar Hill Dr, Cedar Crest, NM 87008. The listed phone number is (505) 238-4445.

What is Jennifer Medlock's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jennifer Medlock enrolled in Medicare?

Yes. Jennifer Medlock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Medlock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Medlock reassigns Medicare benefits to Unm Medical Group Inc (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Medlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Medlock was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.