Individual provider Active NPI

Jody M Stratton, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Costa Mesa, CA
National Provider Identifier
1346800281
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP11598 Issued in CA
Practice address
151 Kalmus Dr Ste A101
Costa Mesa, CA 92626-5900
Phone
(714) 957-4074
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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 SP11598 CA Primary

Addresses

Primary practice location

151 Kalmus Dr Ste A101
Costa Mesa, CA 92626-5900

Mailing address

151 Kalmus Dr Ste A101
Costa Mesa, CA 92626-5900
Phone (714) 957-4074

Other identifiers 1

IdentifierTypeStateIssuer
1952646580OtherCAGROUP PROVIDER NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL secure3.clinicsource.com/jodystratton

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP11598CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jody M. Stratton & Associates, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1346800281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 KALMUS DR STE A101",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265900",
            "telephone_number": "714-957-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KALMUS DR STE A101",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265900",
            "telephone_number": "714-957-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "JODY",
        "middle_name": "M",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP11598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER NPI",
            "identifier": "1952646580",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "secure3.clinicsource.com/jodystratton",
            "affiliation": "N",
            "address_1": "151 Kalmus Dr Ste A101",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926265900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.