Individual provider Active NPI

Jodie Hastings, MS CCC-SLP

  • Speech-Language Pathologist
  • Dexter, MI
National Provider Identifier
1043254204
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101009458 Issued in MI
Practice address
11877 N Territorial Rd
Dexter, MI 48130-9570
Phone
(206) 697-3577
Fax
(360) 805-9491
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL00002805 WA
Speech-Language Pathologist 235Z00000X 7101009458 MI Primary

Addresses

Primary practice location

11877 N Territorial Rd
Dexter, MI 48130-9570

Mailing address

11877 N Territorial Rd
Dexter, MI 48130-9570
Phone (206) 697-3577

Other practice location 1

1129 W Main St Ste 194
Monroe, WA 98272-2034
Phone (206) 697-3577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013000953 MI Practitioner - Qualified Speech Language Pathologist 7517454887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11877 N Territorial Rd
Dexter, MI 48130-9570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LL00002805WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jodie Hastings SLP LLC Speech-Language Pathologist CurrentSince Aug 18, 2025 Accepting new patients
Pediatric Speech & Lang Assocs Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1043254204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11877 N TERRITORIAL RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309570",
            "telephone_number": "206-697-3577",
            "fax_number": "360-805-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11877 N TERRITORIAL RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309570",
            "telephone_number": "206-697-3577",
            "fax_number": "360-805-9491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1129 W Main St Ste 194",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982722034",
            "country_code": "US",
            "telephone_number": "206-697-3577",
            "fax_number": "360-805-9491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "JODIE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002805",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101009458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.