Active NPI
Ruth Jacobs
- Speech-Language Pathologist
- Federal Way, WA
National Provider Identifier
1720339930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00003210
- Practice address
- 1010 S 336TH St
Suite 210
Federal Way, WA 98003-6385 - Phone
- (866) 835-8091
- NPI assigned
- Sep 27, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00003210 | WA | Primary |
Addresses
Primary practice location
1010 S 336TH St
Suite 210
Federal Way, WA 98003-6385
Mailing address
7380 81St PL SE
Mercer Island, WA 98040-5932
Phone (206) 275-3827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10605 NE 185TH St
Bothell, WA 98011-3053
Phone (360) 291-7505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL00003210 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SHC Services Inc. | Past | Accepting new patients | |
| Supplemental Healthcare | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Issaquah, WA
- NPI 1821748112
-
- Skilled Nursing Facility
- Federal Way, WA
- NPI 1124306725
-
- Home Health Agency
- Federal Way, WA
- NPI 1932487535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1720339930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7380 81ST PL SE",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980405932",
"telephone_number": "206-275-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S 336TH ST",
"address_2": "SUITE 210",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036385",
"telephone_number": "866-835-8091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "RUTH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-27",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00003210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.