Individual provider Active NPI

Carmelie Therese Luistro Jadman, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Hayward, CA
National Provider Identifier
1750006987
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
27690 Issued in CA
Practice address
2782 Sea Horse CT
Hayward, CA 94545-1368
Phone
(510) 731-8465
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 27690 CA Primary

Addresses

Primary practice location

2782 Sea Horse CT
Hayward, CA 94545-1368

Mailing address

2782 Sea Horse CT
Hayward, CA 94545-1368
Phone (510) 731-8465

Other practice location 1

201 Sand Creek Rd Ste G4
Brentwood, CA 94513-2494
Phone (925) 529-4790

Other names 1

  • Carmelie Therese Luistro Former name

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

LicenseStateTypeSpecialty
27690CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhemarkable Speech and Language Pathology Inc. Speech-Language Pathologist CurrentSince May 11, 2025 Accepting new patients
JLD Therapy, PC Speech-Language Pathologist Past Accepting new patients
Joy Opens Doors Speech and Occupational Therapy Inc. Speech-Language Pathologist PastSince Oct 1, 2022 Accepting new patients
Celebrations Speech Group Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1750006987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2782 SEA HORSE CT",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451368",
            "telephone_number": "510-731-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2782 SEA HORSE CT",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451368",
            "telephone_number": "510-731-8465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Sand Creek Rd Ste G4",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945132494",
            "country_code": "US",
            "telephone_number": "925-529-4790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JADMAN",
        "first_name": "CARMELIE THERESE",
        "middle_name": "LUISTRO",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMELIE THERESE",
            "last_name": "LUISTRO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.