Active NPI
Jessica Duke
- Speech-Language Pathologist
- Kenai, AK
National Provider Identifier
1639775315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 152528
- Practice address
- 49780 Eider Dr
Kenai, AK 99611-6470 - Phone
- (907) 398-4893
- NPI assigned
- Dec 8, 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 Pathologist | 235Z00000X | 152528 | AK | Primary |
Addresses
Primary practice location
49780 Eider Dr
Kenai, AK 99611-6470
Mailing address
PO Box 84101
Seattle, WA 98124-5401
Phone (907) 335-7500
Other practice location 1
206 W Rockwell Ave
Soldotna, AK 99669-7439
Phone (907) 335-7500
Other practice location 2
508 Upland St
Kenai, AK 99611-8026
Phone (907) 335-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1719107 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250321002380 | AK | Practitioner - Qualified Speech Language Pathologist | 3476075110 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152528 | AK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenaitze Indian Tribe | Current | Accepting new patients | |
| Kenaitze Indian Tribe | Current | Accepting new patients |
Locations
508 Upland St
Kenai, AK 99611
Phone (907) 335-7300
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Kenai, AK
- NPI 1295972677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1639775315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981245401",
"telephone_number": "907-335-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49780 EIDER DR",
"city": "KENAI",
"state": "AK",
"postal_code": "996116470",
"telephone_number": "907-398-4893"
}
],
"practiceLocations": [
{
"address_1": "206 W Rockwell Ave",
"address_purpose": "LOCATION",
"city": "Soldotna",
"state": "AK",
"postal_code": "996697439",
"country_code": "US",
"telephone_number": "907-335-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "508 Upland St",
"address_purpose": "LOCATION",
"city": "Kenai",
"state": "AK",
"postal_code": "996118026",
"country_code": "US",
"telephone_number": "907-335-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUKE",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AK",
"license": "152528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1719107",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.