Active NPI
Joselynne Yvette Jaques, M.SC., S-LP (CCC)
- Speech-Language Pathologist
- Irvine, CA
National Provider Identifier
1427220094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13783
- Practice address
- 10 Fortuna W
Irvine, CA 92620-1848 - Phone
- (714) 235-3053
- NPI assigned
- Mar 24, 2008
- Last updated
- Mar 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13783 | CA | Primary |
Addresses
Primary practice location
10 Fortuna W
Irvine, CA 92620-1848
Mailing address
10 Fortuna W
Irvine, CA 92620-1848
Phone (714) 235-3053
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13783 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joselynne Jaques | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1427220094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 FORTUNA W",
"city": "IRVINE",
"state": "CA",
"postal_code": "926201848",
"telephone_number": "714-235-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 FORTUNA W",
"city": "IRVINE",
"state": "CA",
"postal_code": "926201848",
"telephone_number": "714-235-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAQUES",
"first_name": "JOSELYNNE",
"middle_name": "YVETTE",
"name_prefix": "Mrs.",
"credential": "M.SC., S-LP (CCC)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-24",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "13783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.