Jason Zoldesy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SI61256036 Issued in WA

Practice address

5202 Olympic Dr Ste 100
Gig Harbor, WA 98335-1727

Phone

(253) 851-0007

Fax

(253) 514-8261

NPI assigned

May 5, 2022

Sex

Male

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

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 and National Provider Directory roles.

• Harbor Speech Pathology, PS

  • Speech-Language Pathologist
  • Gig Harbor, WA
  • NPI 1780917062
  NPD

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1205572013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 OLYMPIC DR STE 100",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351727",
            "telephone_number": "253-851-0007",
            "fax_number": "253-514-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 OLYMPIC DR STE 100",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351727",
            "telephone_number": "253-851-0007",
            "fax_number": "253-514-8261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9576 Ridgetop Blvd NW Ste L101",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983838554",
            "country_code": "US",
            "telephone_number": "253-851-0007",
            "fax_number": "253-514-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLDESY",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI61256036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sen Zhao
• Amelia Zhukov, LMT
• Mystie Dawn Ziegler, LMT
• Kirstie Zimmerman, PAC
• Pamela A Ziobro, OD
• Rebecca Ann Zollinger, L.M., M.S.

• Speech-Language Pathologist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.