Individual provider Active NPI

Jessica Ann Aebi, CF-SLP

  • Speech-Language Pathologist
  • Murrieta, CA
National Provider Identifier
1669852067
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.5742 SPIN Issued in SC
Practice address
25150 Hancock Ave Ste 100
Murrieta, CA 92562-5988
Phone
(951) 698-7720
NPI assigned
Jun 2, 2015
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.5742 SPIN SC Primary

Addresses

Primary practice location

25150 Hancock Ave Ste 100
Murrieta, CA 92562-5988

Mailing address

8703 Highway 17 Byp S
Suite 1
Myrtle Beach, SC 29575-7701
Phone (843) 457-1053

Other practice location 1

8703 Highway 17 Byp S
Suite 1
Myrtle Beach, SC 29575-7701
Phone (843) 457-1053

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP.5742 SPINSCMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1669852067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 HIGHWAY 17 BYP S",
            "address_2": "SUITE 1",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295757701",
            "telephone_number": "843-457-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625988",
            "telephone_number": "951-698-7720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8703 Highway 17 Byp S",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295757701",
            "country_code": "US",
            "telephone_number": "843-457-1053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AEBI",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "SLP.5742 SPIN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.