Jessica Mendoza
Individual provider Active NPI Speech-Language Pathologist · Masonic Home, KY
NPI 1538045513 · NPPES record last updated Aug 14, 2025
Key facts
- NPI
- 1538045513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 3761 Johnson Hall Dr
Masonic Home, KY 40041-9998 - Phone
- (502) 293-1695
- NPI assigned
- Aug 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Pediatric Therapy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
3761 Johnson Hall Dr
Masonic Home, KY 40041-9998
Mailing address
2612 Landor Ave
Louisville, KY 40205-2334
Other providers in Masonic Home, KY
- Masonic Homes of Kentucky Inc
- Masonic Homes of Kentucky Pediatric Daycare Inc
- Masonic Homes of Louisville LLC
- Dajanae McCarley
- Camryn Fair McIntosh
- Savanna Loralee Montross
- Catalina Coe Moskos
- Jeri A Newton
- Destiny Satchell Nowlin
- Jillian Morgan O'Dell
All providers in Masonic Home, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.