Active NPI
Jessica Ann Aebi, CF-SLP
- Speech-Language Pathologist
- Murrieta, CA
National Provider Identifier
1669852067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.5742 SPIN
- Practice address
- 25150 Hancock Ave Ste 100
Murrieta, CA 92562-5988 - Phone
- (951) 698-7720
- NPI assigned
- Jun 2, 2015
- Last updated
- Nov 19, 2018
- 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 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.5742 SPIN | SC | MD | Speech-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": []
}
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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.