Active NPI
Jenna Aiello, M.S., CCC-SLP
- Speech-Language Pathologist
- Yacolt, WA
National Provider Identifier
1033866173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL61228378
- Practice address
- 26502 NE Lucia Falls Rd
Yacolt, WA 98675-3320 - Phone
- (971) 266-7209
- NPI assigned
- Mar 8, 2022
- Last updated
- Mar 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LL61228378 | WA | MD | Speech-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.