Individual provider Active NPI

Jennifer Lorraine Coggiola, SLP

  • Speech-Language Pathologist
  • Walnut Creek, CA
National Provider Identifier
1487774493
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3256 McNutt Ave
Walnut Creek, CA 94597-1833
Phone
(925) 323-0175
Fax
(925) 935-6730
NPI assigned
Mar 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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 CA Primary

Addresses

Primary practice location

3256 McNutt Ave
Walnut Creek, CA 94597-1833

Mailing address

3256 McNutt Ave
Walnut Creek, CA 94597-1833
Phone (925) 323-0175

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

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1487774493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 MCNUTT AVE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945971833",
            "telephone_number": "925-323-0175",
            "fax_number": "925-935-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 MCNUTT AVE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945971833",
            "telephone_number": "925-323-0175",
            "fax_number": "925-935-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGIOLA",
        "first_name": "JENNIFER",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.