Individual provider Active NPI

Jakobie Whitaker

  • Speech-Language Assistant
  • Durham, NC
National Provider Identifier
1053664060
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA0494 Issued in NC
Practice address
200 Meredith Dr Ste 200
Durham, NC 27713-2287
Phone
(919) 361-1090
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA0494 NC Primary

Addresses

Primary practice location

200 Meredith Dr Ste 200
Durham, NC 27713-2287

Mailing address

2309 Club PL
Duluth, GA 30096-8215
Phone (910) 916-4258

Other practice location 1

4500 Satellite Blvd
Suite 2290
Duluth, GA 30096-5037
Phone (800) 381-2195

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

State licenses

LicenseStateTypeSpecialty
SLPA0494NCMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spoken-4 Communications, LLC Speech-Language Assistant PastSince Mar 28, 2021 Accepting new patients
Let's Talk Therapy 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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1053664060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 CLUB PL",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968215",
            "telephone_number": "910-916-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEREDITH DR STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132287",
            "telephone_number": "919-361-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Satellite Blvd",
            "address_2": "Suite 2290",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300965037",
            "country_code": "US",
            "telephone_number": "800-381-2195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "JAKOBIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NC",
            "license": "SLPA0494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2021; 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.