Active NPI
Lenell Lane Jumalon, SLP
- Speech-Language Pathologist
- Marysville, WA
National Provider Identifier
1528840808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 602737R
- Practice address
- 4220 80TH St NE
Marysville, WA 98270-3423 - Phone
- (541) 646-1887
- NPI assigned
- Oct 20, 2023
- Last updated
- Oct 20, 2023
- 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 | 602737R | WA | Primary |
Addresses
Primary practice location
4220 80TH St NE
Marysville, WA 98270-3423
Mailing address
3741 W McDowell Rd Apt 242
Phoenix, AZ 85009-2293
Phone (541) 646-1887
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 |
|---|---|---|---|
| 602737R | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1528840808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3741 W MCDOWELL RD APT 242",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850092293",
"telephone_number": "541-646-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 80TH ST NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982703423",
"telephone_number": "541-646-1887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUMALON",
"first_name": "LENELL",
"middle_name": "LANE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-20",
"last_updated": "2023-10-20",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "602737R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, WA
- Jeremiah Lyles Johnson, LMP
- Juanita Johnson
- Sara C Jones, MS
- Brianna Joyce, DC
- Julia McGary DDS Inc PS (Cedar Family Dentistry)
- K & M Homecare Solutions LLC
- K&J Nurse Delegation LLC
- Kristen Jan Kafer, PA-C
- Aster Solomon Kahsai
- Kaiser Foundation Health Plan of Washington (Smokey Point Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.