Active NPI
Jennifer Jean Kurtz, MS CCC
- Speech-Language Pathologist
- Bellevue, WA
National Provider Identifier
1790925477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00003538
- Practice address
- 1417 116TH Ave NE
Ste 110
Bellevue, WA 98004-3821 - Phone
- (425) 688-5904
- NPI assigned
- Feb 20, 2009
- 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 | LL00003538 | WA | Primary |
Addresses
Primary practice location
1417 116TH Ave NE
Ste 110
Bellevue, WA 98004-3821
Mailing address
3424 77TH Ave SE
Mercer Island, WA 98040-3444
Phone (206) 240-3392
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL00003538 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1790925477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3424 77TH AVE SE",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980403444",
"telephone_number": "206-240-3392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 116TH AVE NE",
"address_2": "STE 110",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043821",
"telephone_number": "425-688-5904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "JENNIFER",
"middle_name": "JEAN",
"credential": "MS CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-20",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00003538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.