MRS. JESICA C PRUITT (NPI# 1366519001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366519001 |
| Entity Type | Individual |
| Full Name | MRS. JESICA C PRUITT |
| Credential | MS, CCC-SLP |
| Practice Address |
9818 Ne 200th St Bothell WA 98011-2300 |
| Practice Telephone | 4259413768 |
| Mailing Telephone | 4259413768 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | LL00004202 | WA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7028319 | 05 | |
| WA | ASHA NUMBER | 12090673 | 01 |
| WA | 8461469 | 05 | |
| WA | AETNA PROVIDER NUMBER | 7411852 | 01 |
| Street Address |
9818 NE 200TH ST |
| City | BOTHELL |
| State | WA |
| Zip Code | 98011-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
| 1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
| 1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| Find all providers in zip 98011 | ||||
| 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 |
|---|---|---|---|---|
| 1578029823 | Andrea Lynn Whipple | Speech-Language Pathologist | 1909 124th Street Se, Suite 204, Bothell, WA 98021 | 2019-02-12 |
| 1134611767 | Lea Carollo | Speech-Language Pathologist | 632 195th St Se, Bothell, WA 98012-7099 | 2018-05-30 |
| 1730425109 | Erin Dawn Johnson | Speech-Language Pathologist | 23400 5th Ave W, Bothell, WA 98021-8529 | 2012-12-12 |
| 1609110907 | Heidi Lynne Bodding | Speech-Language Pathologist | 333o Monte Villa Parkway, Bothell, WA 98021-8972 | 2012-11-27 |
| 1720332471 | Sharon Lynne Deering | Speech-Language Pathologist | 3330 Monte Villa Parkway, Northshore School District, Bothell, WA 98021 | 2012-11-02 |
| 1841541273 | Richard Lowell Kreider | Speech-Language Pathologist | 24025 Bothell Everett Hwy, Bothell, WA 98021-9342 | 2012-09-25 |
| 1659640852 | Charlotta Sorine Kromann | Speech-Language Pathologist | 19705 88th Ave Ne, Bothell, WA 98011 | 2011-12-19 |
| 1629346150 | Leslie A Crossan | Speech-Language Pathologist | 9046 Ne 195th St, Bothell, WA 98011-2233 | 2011-12-12 |
| 1821365719 | Elizabeth Patricia Holcomb | Speech-Language Pathologist | 19809 Filbert Rd, Bothell, WA 98012-9617 | 2011-11-21 |
| 1073750006 | Nicole Lynn Mcdonald | Speech-Language Pathologist | 2430 238th Pl Se, Bothell, WA 98021-9500 | 2009-01-13 |
| Find all providers in BOTHELL | ||||
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| 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.