Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER SHIRLEY PETERSON CCC-SLP
NPI 1740682376
Speech-Language Pathologist in San Diego, CA

Q: What is Jennifer Peterson's NPI number?

The NPI number for Jennifer Peterson is 1740682376. It was assigned to this individual provider in the NPPES registry on September 26, 2014.

Q: What is Jennifer Peterson'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 Peterson was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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 September 26, 2014

3020 CHILDRENS WAY # MC5068, SAN DIEGO, CA 92123(858) 576-1700 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jennifer Shirley Peterson Ccc-slp NPPES

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

JENNIFER SHIRLEY PETERSON CCC-SLP (NPI 1740682376) is an individual speech-language pathologist provider in San Diego, California, licensed in California (20479) and active in the NPI registry since September 2014. She maintains a secondary practice location in Herndon.

NPPES Registry Identity

NPI1740682376

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJENNIFER SHIRLEY PETERSONCredential: CCC-SLP

Location Address3020 CHILDRENS WAY # MC5068San Diego, CA 92123-4223

Mailing Address3003 Havencrest StHerndon, VA 20171-1628 · (703) 577-6208

Phone(858) 576-1700

Sole ProprietorNo

Enumeration DateSeptember 26, 2014

Last NPPES UpdateOctober 5, 2026

NPPES CertifiedOctober 5, 2026

✔ NPI 1740682376 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

Licenses✔ Licensed in CA · 20479✔ Licensed in VA · 2202011645

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.

3020 CHILDRENS WAY # MC5068, San Diego, CA 92123

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Secondary Practice Location 1

Location 13003 Havencrest StHerndon, VA 20171-1628 · Phone (703) 577-6208

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA RAMOS DPT

Physical Therapist