Jacob Erling Jones, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP2247 Issued in ID

Practice address

1110 Call Creek Dr Ste 4B
Pocatello, ID 83201-3072

Phone

(208) 233-4660

Fax

(208) 233-4262

NPI assigned

Jul 17, 2012

Last updated

Jul 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech Therapy Services, LLC

  • Speech-Language Pathologist
  • Pocatello, ID
  • NPI 1669798971
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1780939777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 REDMAN ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022672",
            "telephone_number": "208-233-4660",
            "fax_number": "208-233-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CALL CREEK DR STE 4B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013072",
            "telephone_number": "208-233-4660",
            "fax_number": "208-233-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JACOB",
        "middle_name": "ERLING",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP2247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Johnston, BS
• Taylor Jolley, DO
• Jennifer Ann Jones-Elizarraras
• Ashley Lynne Jones, COTA/L
• Gunda Jones, CCC-SLP
• Josh Jones
• Kristin Jones, LMSW
• Michael Gary Jones, D.O.
• Peter John Jones, M.D.
• Terri Jones

• Speech-Language Pathologist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.