Active NPI
Jenna Leigh Guest, SLP
- Speech-Language Pathologist
- Fullerton, CA
National Provider Identifier
1124892476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24195
- Practice address
- 1501 N Harbor Blvd Ste 100
Fullerton, CA 92835-3815 - Phone
- (714) 451-6551
- NPI assigned
- Nov 7, 2023
- 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 | 24195 | CA | Primary |
Addresses
Primary practice location
1501 N Harbor Blvd Ste 100
Fullerton, CA 92835-3815
Mailing address
206 Bay Meadows Dr
Placentia, CA 92870-5503
Phone (720) 633-2677
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24195 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1124892476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 BAY MEADOWS DR",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928705503",
"telephone_number": "720-633-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N HARBOR BLVD STE 100",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353815",
"telephone_number": "714-451-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEST",
"first_name": "JENNA",
"middle_name": "LEIGH",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-07",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "24195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.