Jayli Dismukes, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5624 Issued in AL

Practice address

6157 Airport Blvd Ste 205
Mobile, AL 36608-3147

Phone

(251) 287-0378

Fax

(251) 287-0466

NPI assigned

May 20, 2024

Last updated

May 20, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1275372484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6157 AIRPORT BLVD STE 205",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083147",
            "telephone_number": "251-287-0378",
            "fax_number": "251-287-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6157 AIRPORT BLVD STE 205",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083147",
            "telephone_number": "251-287-0378",
            "fax_number": "251-287-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISMUKES",
        "first_name": "JAYLI",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "5624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Mobile, AL
• Providers in Mobile, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.