Individual provider Active NPI

Jo Ellen Marie Houser-Hunt, MS C.C.C. SLP/A

  • Speech-Language Pathologist
  • Puyallup, WA
National Provider Identifier
1336331487
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60451617 Issued in WA
Practice address
12698 115TH Ave CT E
Puyallup, WA 98374
Phone
(903) 799-8504
Fax
(903) 793-1203
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 50325 TX
Speech-Language Pathologist 235Z00000X LL60451617 WA Primary

Addresses

Primary practice location

12698 115TH Ave CT E
Puyallup, WA 98374

Mailing address

12608 115TH Avenue CT E
Puyallup, WA 98374-3182
Phone (903) 799-8504

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
50325TXMDClinical Social Worker
LL60451617WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1336331487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12608 115TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983743182",
            "telephone_number": "903-799-8504",
            "fax_number": "903-793-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12698 115TH AVE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98374",
            "telephone_number": "903-799-8504",
            "fax_number": "903-793-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSER-HUNT",
        "first_name": "JO ELLEN",
        "middle_name": "MARIE",
        "credential": "MS  C.C.C.  SLP/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "50325",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60451617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.