Active NPI
Tessa Jazdzyk, MA, CCC-SLP
- Speech-Language Pathologist
- Marquette, MI
National Provider Identifier
1699340174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14360811
- Practice address
- 555 County Road HQ # 200
Marquette, MI 49855-8855 - Phone
- (906) 225-5900
- NPI assigned
- May 26, 2021
- 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 | 14360811 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | 14360811 | TX |
Addresses
Primary practice location
555 County Road HQ # 200
Marquette, MI 49855-8855
Mailing address
11253 Patterson Rd
Ravenna, MI 49451-9560
Phone (231) 740-7540
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14360811 | CA | MD | Speech-Language Pathologist |
| 14360811 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1699340174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11253 PATTERSON RD",
"city": "RAVENNA",
"state": "MI",
"postal_code": "494519560",
"telephone_number": "231-740-7540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 COUNTY ROAD HQ # 200",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498558855",
"telephone_number": "906-225-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAZDZYK",
"first_name": "TESSA",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "14360811",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "14360811",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
- Jamieson Orthodontics
- Jeffrey Allan Jamieson, DDS, MS, CERT ORTHO
- Scott A Jamieson, DDS MS
- Diane Joyce Jandron, MA, CCC-SLP
- Ellie Jayne, OTRL
- William Joseph Jean, MD
- Jeffrey S Karr MDPC
- Jeffries Chiropractic Alternative Healing Centre P.C.
- Frank Wallace Jeffries IV, D.C.
- Ashley Annamarie Jenema, LLMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.