Individual provider Active NPI

Jennea Ramatici Glaholt, SLPA

  • Speech-Language Assistant
  • Cotati, CA
National Provider Identifier
1629559331
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
4396 Issued in CA
Practice address
315 E Cotati Ave Ste F
Cotati, CA 94931-7801
Phone
(707) 326-3548
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 4396 CA Primary

Addresses

Primary practice location

315 E Cotati Ave Ste F
Cotati, CA 94931-7801

Mailing address

315 E Cotati Ave Ste F
Cotati, CA 94931-7801
Phone (707) 326-3548

Other practice location 1

1370 Medical Center Dr Ste D
Rohnert Park, CA 94928-2934
Phone (707) 326-3548

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

LicenseStateTypeSpecialty
4396CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Speech and Language Pathology CurrentSince Jan 1, 2020 Accepting new patients

Locations

315 E Cotati Ave
Ste F
Cotati, CA 94931
Phone (635) 487-0732

1370 Medical Center Dr
Ste D
Rohnert Park, CA 94928
Phone (707) 326-3548

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1629559331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E COTATI AVE STE F",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949317801",
            "telephone_number": "707-326-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E COTATI AVE STE F",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949317801",
            "telephone_number": "707-326-3548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 Medical Center Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949282934",
            "country_code": "US",
            "telephone_number": "707-326-3548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMATICI GLAHOLT",
        "first_name": "JENNEA",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "4396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cotati, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.