Active NPI
Jessi Leigh Peralta, MS, SLP-CCC
- Speech-Language Pathologist
- Covington, LA
National Provider Identifier
1669960464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7723
- Practice address
- 2000 Covington Ctr
Covington, LA 70433-2979 - Phone
- (985) 464-9940
- NPI assigned
- Apr 26, 2018
- 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 Pathologist | 235Z00000X | 4957 | OK | |
| Speech-Language Pathologist | 235Z00000X | 7723 | LA | Primary |
Addresses
Primary practice location
2000 Covington Ctr
Covington, LA 70433-2979
Mailing address
42346 Landing View Rd
Ponchatoula, LA 70454-4237
Phone (985) 807-7490
Other practice location 1
9031 SW 29th St
Oklahoma City, OK 73179-2818
Phone (985) 807-7490
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7723 | LA | MD | Mental Health Counselor |
| 4957 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651968000000",
"number": "1669960464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42346 LANDING VIEW RD",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704544237",
"telephone_number": "985-807-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 COVINGTON CTR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704332979",
"telephone_number": "985-464-9940"
}
],
"practiceLocations": [
{
"address_1": "9031 SW 29th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731792818",
"country_code": "US",
"telephone_number": "985-807-7490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERALTA",
"first_name": "JESSI",
"middle_name": "LEIGH",
"credential": "MS, SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-26",
"last_updated": "2022-05-08",
"certification_date": "2022-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "4957",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "7723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.