Jessica Gaytan, MS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101007514 Issued in MI

Practice address

1651 E Nickerson Ave
Benton Harbor, MI 49022-2469

Phone

(269) 876-5697

NPI assigned

Aug 13, 2020

Last updated

Sep 3, 2023By the provider in NPPES

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Science

Practice roles

Locations

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.

• Sunflower Therapy Centers Inc

  • Speech-Language Pathologist
  • Saint Joseph, MI
  • NPI 1952099715
  Medicare reassignment NPD
• Ultimate Potential Therapy

  • Health Service Clinic/Center
  • Stevensville, MI
  • NPI 1104548379
  NPD
• Logan Community Resources, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • South Bend, IN
  • NPI 1891917449
  NPD

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693699200000",
    "number": "1144831009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E NICKERSON AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222469",
            "telephone_number": "269-876-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E NICKERSON AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222469",
            "telephone_number": "269-876-5697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Miners Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490859709",
            "country_code": "US",
            "telephone_number": "269-235-9083",
            "fax_number": "269-359-3735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYTAN",
        "first_name": "JESSICA",
        "credential": "MS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2023-09-03",
        "certification_date": "2023-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Vanessa Gamino
• Kristen Marie Gant
• Lauren Garcia
• Ava Logan Gast
• Aileen Gaytan
• Genoa Healthcare LLC
• Megan Lynn Genovese
• Gentle Harbor Midwifery
• Gentle Harbor Midwifery
• Geriatric Connections LLC

• Speech-Language Pathologist in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.