Jessica Lynn Smith, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP8934 Issued in AZ

Practice address

108 W University Dr
Mesa, AZ 85201-5818

Phone

(480) 668-1917

NPI assigned

Jul 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Desert Valley Pediatric Therapy

  • Specialist
  • Phoenix, AZ
  • NPI 1528209830
  NPD (past)

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1780090902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8137 E JACOB DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879192",
            "telephone_number": "916-208-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015818",
            "telephone_number": "480-668-1917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3498 Green Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Rescue",
            "state": "CA",
            "postal_code": "956729625",
            "country_code": "US",
            "telephone_number": "530-391-8670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP8934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "929356",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffery Deward Smith, PA
• Jeffery Owen Smith, RPH.
• Jeffrey Ryan Smith, MPT
• Jennifer Smith
• Jeremy L Smith, CPHT
• John Smith
• Justin Mark Smith, PSYD
• Katharine Anne Smith, CRNA
• Kathleen Smith
• Kelsey Morgan Smith, M OTR/L

• Speech-Language Pathologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.