Jessica Lea Ekstrom, M.S., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115093 Issued in TX

Practice address

7001 McPherson Rd
Laredo, TX 78041-6410

Phone

(956) 723-7001

NPI assigned

Jan 23, 2019

Last updated

Jan 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Lea Ekstrom Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1730643743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 SPRINGFIELD AVE APT 7206",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780452507",
            "telephone_number": "772-979-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 MCPHERSON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416410",
            "telephone_number": "956-723-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKSTROM",
        "first_name": "JESSICA",
        "middle_name": "LEA",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "EKSTROM",
            "middle_name": "LEA",
            "credential": "M.S., CF-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in Laredo, TX
• Providers in Laredo, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.