Active NPI
Jacqueline Villalpando, SLP-A
- Speech-Language Assistant
- Charleston, SC
National Provider Identifier
1669106225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 8128
- Practice address
- 27 Boardman Rd
Charleston, SC 29407-3722 - Phone
- (843) 200-9600
- Fax
- (843) 872-0511
- NPI assigned
- Jul 11, 2022
- Last updated
- May 10, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 8128 | SC | Primary |
| Speech-Language Pathologist | 235Z00000X | CA6851 | CA |
Addresses
Primary practice location
27 Boardman Rd
Charleston, SC 29407-3722
Mailing address
27 Boardman Rd
Charleston, SC 29407-3722
Phone (843) 200-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP7866 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | susan@forthechildren.site | Direct |
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 |
|---|---|---|---|
| 8128 | SC | MD | Counselor |
| CA6851 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1669106225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 BOARDMAN RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294073722",
"telephone_number": "843-200-9600",
"fax_number": "843-872-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 BOARDMAN RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294073722",
"telephone_number": "843-200-9600",
"fax_number": "843-872-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLALPANDO",
"first_name": "JACQUELINE",
"name_prefix": "Ms.",
"credential": "SLP-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-11",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "SC",
"license": "8128",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "CA6851",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP7866",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "susan@forthechildren.site",
"affiliation": "N",
"endpointDescription": "SLP and Co-owner of company",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Pertinent infomation concerning speech and language",
"address_1": "27 Boardman Rd",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294073722",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.