Jaclyn Walton

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10107 Issued in OH

Practice address

16695 Chillicothe Rd
Chagrin Falls, OH 44023-4578

Phone

(440) 543-4221

NPI assigned

Aug 11, 2019

Last updated

Aug 11, 2019By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1215583810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8291 CEDAR RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440263509",
            "telephone_number": "440-840-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16695 CHILLICOTHE RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234578",
            "telephone_number": "440-543-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "10107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwalton@theweils.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "16695 Chillicothe Rd",
            "city": "Chagrin Falls",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440234578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Speech-Language Pathologist in Ohio

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