Jacob Lalan, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP7979 Issued in AZ

Practice address

1410 N Rim Dr
Flagstaff, AZ 86001-1456

Phone

(928) 856-0450

NPI assigned

Sep 6, 2012

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Pinnacle Therapy Solutions, LLC

  • Hearing and Speech Clinic/Center
  • Flagstaff, AZ
  • NPI 1265913222
  NPD Authorized official

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1467701326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N RIM DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011456",
            "telephone_number": "928-856-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N RIM DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011456",
            "telephone_number": "928-856-0450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W Santa Fe Ave",
            "address_2": "#29",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860015347",
            "country_code": "US",
            "telephone_number": "480-694-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALAN",
        "first_name": "JACOB",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP7979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lactation Solutions of Northern Arizona
• Marian Lacy, M.D.
• Elaine Marie Laemmrich, FNP, MSN, RN
• Erika Kristi Laforest, M.S., CCC-SLP
• Laura Lahti, NP
• Duane Eugene Lambert, MD
• Carrie Lamberti
• Shawna Carolyn Landauer, PT, DPT
• Rebecca Landon, DNP, PMHNP
• Jeffery Lane Jr., AU.D.

• Speech-Language Pathologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.