Active NPI
Keri Lynn Jones, MA, CCC-SLP
- Speech-Language Pathologist
- Pullman, WA
National Provider Identifier
1649417460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00003251
- Practice address
- 1620 SE Summit CT
Pullman, WA 99163-5540 - Phone
- (509) 332-5106
- Fax
- (509) 334-5723
- NPI assigned
- Jan 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00003251 | WA | Primary |
| Speech-Language Pathologist | 235Z00000X | 12023708 | WA |
Addresses
Primary practice location
1620 SE Summit CT
Pullman, WA 99163-5540
Mailing address
1620 SE Summit CT
Pullman, WA 99163-5540
Phone (509) 332-5106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
840 SE Bishop Blvd
Suite 103
Pullman, WA 99163-5502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12023708 | WA | MD | Speech-Language Pathologist |
| LL00003251 | WA | MD | Speech-Language Pathologist |
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.
-
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1649417460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 SE SUMMIT CT",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635540",
"telephone_number": "509-332-5106",
"fax_number": "509-334-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 SE SUMMIT CT",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635540",
"telephone_number": "509-332-5106",
"fax_number": "509-334-5723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KERI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00003251",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "12023708",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.