Active NPI
Janna M. Ajam, SLP
- Speech-Language Pathologist
- Seattle, WA
National Provider Identifier
1508950346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00004163
- Practice address
- 1100 9TH Ave
Mailstop H4 PMR
Seattle, WA 98101-2756 - Phone
- (206) 341-0461
- Fax
- (206) 223-6472
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 | LL00004163 | WA | Primary |
Addresses
Primary practice location
1100 9TH Ave
Mailstop H4 PMR
Seattle, WA 98101-2756
Mailing address
1100 9TH Ave
Mailstop H4 PMR
Seattle, WA 98101-2756
Phone (206) 341-0461
Other names 1
- Janna M. Peters
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Polo Ridge CT
Winston Salem, NC 27106-3950
Phone (336) 734-1894
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9248 | NC | MD | Oral and Maxillofacial Surgery (Dentist) |
| LL00004163 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pruitthealth Therapy Services, Inc. | Current | Accepting new patients |
Locations
1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875
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": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1508950346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"address_2": "MAILSTOP H4 PMR",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-341-0461",
"fax_number": "206-223-6472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"address_2": "MAILSTOP H4 PMR",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-341-0461",
"fax_number": "206-223-6472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJAM",
"first_name": "JANNA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00004163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANNA",
"last_name": "PETERS",
"middle_name": "M.",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.