Gabrielle Renee Jischke

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6212 Tudor Way
Bakersfield, CA 93306-7067

Phone

(661) 871-3133

NPI assigned

Sep 16, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1225708605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 RHINE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933135985",
            "telephone_number": "661-303-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 TUDOR WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933067067",
            "telephone_number": "661-871-3133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Arvin",
            "state": "CA",
            "postal_code": "932031047",
            "country_code": "US",
            "telephone_number": "661-854-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JISCHKE",
        "first_name": "GABRIELLE",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.