JESSENIA TELLO (NPI# 1053889964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053889964 |
| Entity Type | Individual |
| Full Name | JESSENIA TELLO |
| Credential | MS, CCC-SLP |
| Practice Address |
1901 N Hwy 360 Ste 410 Grand Prairie TX 75050-1412 |
| Mailing Address |
4417 Shady Elm Dr Mansfield TX 76063-5589 |
| Practice Telephone | 8176522924 |
| Mailing Telephone | 2146639553 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 104405 | TX | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4417 Shady Elm Dr, Mansfield, TX 760635589 | 2146639553 |
| Street Address |
1901 N HWY 360 STE 410 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75050-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073814927 | Dsm Healthcare Ventures, LLC | Home Health | 1901 N Hwy 360 Ste 410, Grand Prairie, TX 75050-1431 | 2010-11-09 |
| 1932677051 | Elizabeth Danielle Perez | Home Health | 1901 N Hwy 360 Ste 410, Grand Prairie, TX 75050-1412 | 2018-11-06 |
| 1902374440 | Randi Alyse Hanfeld | Physical Therapy Assistant | 1901 N Hwy 360 Ste 410, Grand Prairie, TX 75050-1412 | 2018-11-02 |
| 1316426455 | Cynthia Kidd | Occupational Therapist | 1901 N Hwy 360 Ste 410, Grand Prairie, TX 75050-1431 | 2018-08-09 |
| 1417435090 | Bree Bailey | Specialist/Technologist | 1901 N Hwy 360 Ste 410, Grand Prairie, TX 75050-1431 | 2018-08-05 |
| 1861970170 | Khoa D Vo | Physical Therapy Assistant | 1901 N Hwy 360 Ste 410, Grand Prairie, TX 75050-1431 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539695 | Christopher Bachman | Physical Therapy Assistant | 2045 Hwy 360, #100b, Grand Prarie, TX 75050 | 2018-02-21 |
| 1003335233 | L & B Group Home LLC | In Home Supportive Care | 605 E Palace Pkwy Ste, B4, Grand Prairie, TX 75050 | 2017-09-19 |
| 1073054748 | Smileeasy Dental Grand Prairie, Pllc | Dentist | 2650 S Hwy 161, Grand Prairie, TX 75050 | 2017-03-15 |
| 1164966651 | Prime Diagnostic Imaging of Irving, LLC | Clinic/Center | 2210 Paddock Way, Grand Prairie, TX 75050 | 2016-12-19 |
| 1366801037 | Monica Simpson | Counselor | 2080 N Hwy 360, Ste 430, Grand Prairie, TX 75050 | 2016-02-23 |
| 1437545845 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1000 Post and Paddock Street, #305, Grand Prairie, TX 75050 | 2015-04-13 |
| 1912304593 | Tenishia Chintankwa | Non-emergency Medical Transport (VAN) | 2403 Doreen St, Grand Prairie, TX 75050 | 2014-11-26 |
| 1780023192 | Holland Surgical Group | Physician Assistant | 201 West Tarrant Rd. #1420, Grand Prairie, TX 75050 | 2013-06-19 |
| 1174962823 | Occumed Plus-grand Prairie | General Practice | 805 W. North Carrier Pkwy, 260, Grand Prairie, TX 75050 | 2013-06-17 |
| 1497099618 | Sorai Susanne S Stuart | Counselor | 2825 N. State Hwy 360, 710, Grand Prairie, TX 75050 | 2012-11-15 |
| Find all providers in zip 75050 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587870 | R.e.a.c.t. Initiative, Inc. | Speech-Language Pathologist | 2360 Comanche Trl, Grand Prairie, TX 75052-8595 | 2019-06-15 |
| 1780197020 | Darla Greene | Speech-Language Pathologist | 4219 Hathaway Dr, Grand Prairie, TX 75052-4217 | 2017-11-08 |
| 1730550401 | Connie Love | Speech-Language Pathologist | 4445 Sierra Dr, Grand Prairie, TX 75052-3142 | 2015-10-07 |
| 1538443395 | Jane Geracci | Speech-Language Pathologist | 2744 Oak Hollow Dr, Grand Prairie, TX 75052-4437 | 2011-09-28 |
| 1750671251 | Nickie Daraphone | Speech-Language Pathologist | 2675 Bridgewater Dr, Grand Prairie, TX 75054-7229 | 2011-04-18 |
| 1942513171 | Spirit Speech Services | Speech-Language Pathologist | 2463 Somervell Trl, Grand Prairie, TX 75052 | 2010-07-16 |
| 1447409867 | Eileen White | Speech-Language Pathologist | 4531 Hanover St, Grand Prairie, TX 75052-3525 | 2008-09-09 |
| 1164543401 | Kendall Cain | Speech-Language Pathologist | 620 W Westchester Pkwy, 5204, Grand Prairie, TX 75052-3299 | 2007-04-03 |
| 1023145968 | Dana Sue Harrington | Speech-Language Pathologist | 3504 Corn Valley Rd, Grand Prairie, TX 75052-6410 | 2007-02-27 |
| 1609885144 | Tongula P Dunigan-kiner | Speech-Language Pathologist | 2887 Park Place Dr, Grand Prairie, TX 75052-8520 | 2006-08-05 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75050 |
Please comment or provide details below to improve the information on JESSENIA TELLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.