Active NPI
Chrisyl Mary Jaison
- Speech-Language Assistant
- Davis, CA
National Provider Identifier
1598397200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 803 Russell Blvd
Davis, CA 95616-3426 - Phone
- (530) 601-7585
- NPI assigned
- Feb 11, 2020
- 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 Assistant | 2355S0801X | Primary |
Addresses
Primary practice location
803 Russell Blvd
Davis, CA 95616-3426
Mailing address
1843 Rushmore Lane
Davis, CA 95616
Phone (530) 601-7585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12345678 | Other | CA | SUTTER SELECT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.ghcot.com | Growing Healthy Children Therapy Services, Inc. |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1598397200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1843 RUSHMORE LANE",
"city": "DAVIS",
"state": "CA",
"postal_code": "95616",
"telephone_number": "530-601-7585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 RUSSELL BLVD",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163426",
"telephone_number": "530-601-7585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAISON",
"first_name": "CHRISYL",
"middle_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2023-11-27",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUTTER SELECT",
"identifier": "12345678",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.ghcot.com",
"affiliation": "Y",
"affiliationName": "Growing Healthy Children Therapy Services, Inc.",
"address_1": "803 Russell Blvd",
"city": "Davis",
"state": "CA",
"country_code": "US",
"postal_code": "956163426",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Davis, CA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.