Active NPI
Janessa Gojkovich, SLPA
- Speech-Language Assistant
- Mesa, AZ
National Provider Identifier
1669784377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA6774
- Practice address
- 949 S. Longmore
# 251
Mesa, AZ 85202 - Phone
- (928) 792-6272
- NPI assigned
- Jul 10, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SLPA6774 | AZ | Primary |
Addresses
Primary practice location
949 S. Longmore
# 251
Mesa, AZ 85202
Mailing address
550 E McKellips Rd Apt 2081
Mesa, AZ 85203-9638
Phone (928) 792-6272
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 |
|---|---|---|---|
| SLPA6774 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1669784377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E MCKELLIPS RD APT 2081",
"city": "MESA",
"state": "AZ",
"postal_code": "852039638",
"telephone_number": "928-792-6272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 S. LONGMORE",
"address_2": "# 251",
"city": "MESA",
"state": "AZ",
"postal_code": "85202",
"telephone_number": "928-792-6272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOJKOVICH",
"first_name": "JANESSA",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-10",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA6774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.