Jilda Fathima Nanan Chirakkal

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SP61251972 Issued in WA

Practice address

1501 39TH Ave SW
Puyallup, WA 98373-3801

Phone

(253) 841-1301

NPI assigned

Sep 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1093533226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 SE 174TH ST APT 3440",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555869",
            "telephone_number": "425-533-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 39TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733801",
            "telephone_number": "253-841-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANAN CHIRAKKAL",
        "first_name": "JILDA FATHIMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": "SP61251972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent Nagel
• Maureen Nalder, LPN
• Emily Nalker, BCBA
• Charles Nam, MD
• Amrita Nambiar, M.S., CCC-SLP
• Elizabeth Narasimha
• Christina M Nase
• Jodi Nash Renee', L.M.P.
• Joseph D Nash, LMP
• Misty Nason

• Speech-Language Assistant in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Speech-Language Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.