JENNIFER LYNNE DIERENFELD (SLP) – Speech-Language Pathologist, NPI 1568628907

JENNIFER LYNNE DIERENFELD (SLP) is a healthcare provider. based in Redmond, Washington. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. SI00004609 (WA). The NPI Number for JENNIFER LYNNE DIERENFELD (SLP) is 1568628907

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNNE DIERENFELD (SLP)
NPI
1568628907
Phone
(425) 882-4347
Address
8301 161ST AVE NE STE 208
Enumeration Date
5 August 2008
Last Update Date
28 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4258824347
Graduation Year
2007 (19 years ago)
PAC ID
8921220864
Group Practice PAC ID
0840429718
Professional Enrollment ID
I20141110001938
Address ID
WA980523858RE8301XNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

156 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in WA

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Provider Addresses for JENNIFER LYNNE DIERENFELD (SLP)

  • 161st Avenue Northeast, Redmond, King County, Washington, 980452, United States

    REDMOND, WA 980523858

    Phone: (425) 882-4347

    Fax: (425) 883-4347

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141110001938IQualified Speech Language PathologistWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98052)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840429718View full group profile
NameSpecialtyState
Qualified Speech Language PathologistWA

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Frequently asked questions

Is JENNIFER LYNNE DIERENFELD (SLP) listed with a National Provider Identifier?
Yes — JENNIFER LYNNE DIERENFELD (SLP) has NPI 1568628907 on file in the registry.
Is there an active status for JENNIFER LYNNE DIERENFELD (SLP)?
For scheduling context, JENNIFER LYNNE DIERENFELD (SLP) is shown as active in the registry.
What kind of doctor is JENNIFER LYNNE DIERENFELD (SLP)?
JENNIFER LYNNE DIERENFELD (SLP) is associated with Speech-Language Pathologist in the directory — Clinical services aligned with this taxonomy classification.
Is JENNIFER LYNNE DIERENFELD (SLP) associated with Redmond?
Public fields place JENNIFER LYNNE DIERENFELD (SLP) around Redmond, Washington. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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