Active NPI
Jennea Ramatici Glaholt, SLPA
- Speech-Language Assistant
- Cotati, CA
National Provider Identifier
1629559331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 4396
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4396 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discovery Speech and Language Pathology | Current | 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.
-
- Hearing and Speech Clinic/Center
- Cotati, CA
- NPI 1750872818
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.