Jodi K. Monroe, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003597 Issued in WA

Practice address

1900 Daniels St
Hough School
Vancouver, WA 98660-2535

Phone

(360) 313-2100

Fax

(360) 313-2101

NPI assigned

Sep 11, 2012

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

Other names 1

• Jodi K. Peterson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1306196977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 DANIELS ST",
            "address_2": "HOUGH SCHOOL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602535",
            "telephone_number": "360-313-2100",
            "fax_number": "360-313-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DANIELS ST",
            "address_2": "HOUGH SCHOOL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602535",
            "telephone_number": "360-313-2100",
            "fax_number": "360-313-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "JODI",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "PETERSON",
            "middle_name": "K.",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monica Calderon, DMD PS
• Beth A Monlux, RC
• Mayra Rebeca Monreal-Armenta
• Brittanna Monroe, LPN
• Elizabeth Ann Monroe, LMT, LME
• Vanessa Nicholle Monsef
• Jill Marie Monsen
• Michael Monson
• Brandon James Montague
• Brynden Montalto, LABA

• Speech-Language Pathologist in Vancouver, WA
• Providers in Vancouver, 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 Feb 17, 2020; 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.