Jessica Wray Kukesh

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP21667 Issued in CA

Practice address

151 N Sunrise Ave
Roseville, CA 95661-2924

Phone

(916) 771-8255

NPI assigned

Jan 13, 2015

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

State licenses

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1306235486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 GERBER AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171321",
            "telephone_number": "209-324-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612924",
            "telephone_number": "916-771-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKESH",
        "first_name": "JESSICA",
        "middle_name": "WRAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP21667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Kubat
• Charlotte Dai Kubicky, MD, PHD
• John Kudreyko III, PT,DPT,CSCS
• Erik Kuecher
• Kujok Medical Corporation
• Patricia Louise Kulbeth, RD
• Arvind Kumar, M.D.
• Binay Kumar, M.D.
• Devinder Kumar, M.D.
• Palak Kumar, PHARMD

• Speech-Language Pathologist in Roseville, CA
• Providers in Roseville, 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 Feb 4, 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.