JENNIFER BOUTWELL MA, CCC-SLP
NPI 1639629900
Speech-Language Pathologist in Randleman, NC

Q: What is Jennifer Boutwell's NPI number?

The NPI number for Jennifer Boutwell is 1639629900. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Q: What is Jennifer Boutwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Boutwell was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 10, 2016

204 E NAOMI ST, RANDLEMAN, NC 27317(336) 267-9046 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer Boutwell Ma, Ccc-slp NPPES

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

JENNIFER BOUTWELL MA, CCC-SLP (NPI 1639629900) is an individual speech-language pathologist provider in Randleman, North Carolina, licensed in North Carolina (SP21639) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1639629900

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJENNIFER BOUTWELLCredential: MA, CCC-SLP

Location Address204 E NAOMI STRandleman, NC 27317-1844

Mailing Address204 E Naomi StRandleman, NC 27317-1844

Phone(336) 267-9046

Sole ProprietorYes

Enumeration DateOctober 10, 2016

✔ NPI 1639629900 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 NC · SP21639

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.

204 E NAOMI ST, Randleman, NC 27317

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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 Boutwell's NPI number?

The NPI number for Jennifer Boutwell is 1639629900. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Where is Jennifer Boutwell located?

Jennifer Boutwell practices at 204 E Naomi St, Randleman, NC 27317. The listed phone number is (336) 267-9046.

What is Jennifer Boutwell's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Boutwell was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.