Active NPI
Jessica E Fliksteen, SLP
- Speech-Language Pathologist
- Pleasant Hill, CA
National Provider Identifier
1134434392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 19928
- Practice address
- 264 Golf Links St
Pleasant Hill, CA 94523-5605 - Phone
- (094) 991-9815
- NPI assigned
- Aug 12, 2010
- Last updated
- Jul 17, 2020
- 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 | 19928 | CA | Primary |
Addresses
Primary practice location
264 Golf Links St
Pleasant Hill, CA 94523-5605
Mailing address
264 Golf Links St
Pleasant Hill, CA 94523-5605
Phone (094) 991-9815
Other practice location 1
10811 SE Kent Kangley Rd
Kent, WA 98030-7108
Phone (253) 854-5660
Other names 1
- Jessica Elizabeth Flikke
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect & Bloom Speech Therapy Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Pleasant Hill, CA
- NPI 1780294322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1134434392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 GOLF LINKS ST",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945235605",
"telephone_number": "094-991-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 GOLF LINKS ST",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945235605",
"telephone_number": "094-991-9815"
}
],
"practiceLocations": [
{
"address_1": "10811 SE Kent Kangley Rd",
"address_purpose": "LOCATION",
"city": "Kent",
"state": "WA",
"postal_code": "980307108",
"country_code": "US",
"telephone_number": "253-854-5660",
"fax_number": "253-893-7413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLIKSTEEN",
"first_name": "JESSICA",
"middle_name": "E",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "19928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "FLIKKE",
"middle_name": "ELIZABETH",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.