Individual provider Active NPI

Jenna Aiello, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Yacolt, WA
National Provider Identifier
1033866173
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61228378 Issued in WA
Practice address
26502 NE Lucia Falls Rd
Yacolt, WA 98675-3320
Phone
(971) 266-7209
NPI assigned
Mar 8, 2022
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL61228378 WA Primary

Addresses

Primary practice location

26502 NE Lucia Falls Rd
Yacolt, WA 98675-3320

Mailing address

26502 NE Lucia Falls Rd
Yacolt, WA 98675-3320
Phone (971) 266-7209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LL61228378WAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1033866173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26502 NE LUCIA FALLS RD",
            "city": "YACOLT",
            "state": "WA",
            "postal_code": "986753320",
            "telephone_number": "971-266-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26502 NE LUCIA FALLS RD",
            "city": "YACOLT",
            "state": "WA",
            "postal_code": "986753320",
            "telephone_number": "971-266-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIELLO",
        "first_name": "JENNA",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61228378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yacolt, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.