Individual provider Active NPI

Joanna Jaramillo

  • Speech-Language Pathologist
  • Rowlett, TX
National Provider Identifier
1477010627
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
24788 Issued in TX
Practice address
3416 Enterprise Dr. #1851
Rowlett, TX 75088
Phone
(972) 365-0860
Fax
(866) 252-5962
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 24788 TX Primary

Addresses

Primary practice location

3416 Enterprise Dr. #1851
Rowlett, TX 75088

Mailing address

3416 Enterprise Dr. #1851
Rowlett, TX 75088
Phone (972) 365-0860

Other practice location 1

3416 Enterprise Dr. #1851
Rowlett, TX 75088
Phone (972) 365-0860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260602001606 TX Practitioner - Qualified Speech Language Pathologist 4385115211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3416 Enterprise Dr
Suite 1851
Rowlett, TX 75088-4087

3416 Enterprise Dr
Suite 1851
Rowlett, TX 75088-9998

5108 Appalachian Dr
Royse City, TX 75189-0410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Speech Therapy LLC Speech-Language Pathologist CurrentSince Oct 30, 2022 Accepting new patients

Locations

3416 Enterprise Dr
#1851
Rowlett, TX 75088
Phone (972) 365-0860

3416 Enterprise Dr
Ste 1851
Rowlett, TX 75088

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1477010627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 ENTERPRISE DR. #1851",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "75088",
            "telephone_number": "972-365-0860",
            "fax_number": "866-252-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 ENTERPRISE DR. #1851",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "75088",
            "telephone_number": "972-365-0860",
            "fax_number": "866-252-5962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3416 Enterprise Dr. #1851",
            "address_purpose": "LOCATION",
            "city": "Rowlett",
            "state": "TX",
            "postal_code": "75088",
            "country_code": "US",
            "telephone_number": "972-365-0860",
            "fax_number": "866-252-5962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "24788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.