Individual provider Active NPI

Catherine Elizabeth Jerskey, MS

  • Speech-Language Pathologist
  • Carlsbad, CA
National Provider Identifier
1104389659
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
28133 Issued in CA
Practice address
2380 Hosp Way Unit 139
Carlsbad, CA 92008-1232
Phone
(760) 415-3811
NPI assigned
Apr 11, 2019
Last updated
Apr 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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 28133 CA Primary

Addresses

Primary practice location

2380 Hosp Way Unit 139
Carlsbad, CA 92008-1232

Mailing address

2380 Hosp Way Unit 139
Carlsbad, CA 92008-1232
Phone (760) 415-3811

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
28133CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1104389659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 HOSP WAY UNIT 139",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081232",
            "telephone_number": "760-415-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 HOSP WAY UNIT 139",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081232",
            "telephone_number": "760-415-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERSKEY",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "28133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.