Individual provider Active NPI

Jessica Sather, CCC-SLP

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1316612633
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110265 Issued in TX
Practice address
13727 Noel Rd
Dallas, TX 75240-1336
Phone
(972) 851-1022
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 110265 TX Primary

Addresses

Primary practice location

13727 Noel Rd
Dallas, TX 75240-1336

Mailing address

8104 Joella LN
Grandview, TX 76050-1849
Phone (806) 676-5633

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jessicanicoleritchie@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110265TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1316612633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 JOELLA LN",
            "city": "GRANDVIEW",
            "state": "TX",
            "postal_code": "760501849",
            "telephone_number": "806-676-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13727 NOEL RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401336",
            "telephone_number": "972-851-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHER",
        "first_name": "JESSICA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jessicanicoleritchie@gmail.com",
            "affiliation": "N",
            "address_1": "8104 Joella Ln",
            "city": "Grandview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760501849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.