Jasmine Enise Spruill, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2393 Issued in AL

Practice address

245 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-2216

Phone

(205) 942-6820

Fax

(205) 942-5627

NPI assigned

Aug 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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.

• Community Therapy Speech-Language Pathology

  dba Community Therapy SLP

  • Speech-Language Pathologist
  • Owens Cross Roads, AL
  • NPI 1831849710
  NPD

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801808415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 REBECCA PINES DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588295",
            "telephone_number": "256-489-4144",
            "fax_number": "256-650-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CAHABA VALLEY PKWY",
            "address_2": "SUITE 200",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242216",
            "telephone_number": "205-942-6820",
            "fax_number": "205-942-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUILL",
        "first_name": "JASMINE",
        "middle_name": "ENISE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "515-30839",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Shelby Wellness, LLC
• Joanna Poland Southard, P.T.
• Southern Oaks Residential Academy (Southern Oaks Center)
• Southern Radiology Services
• Southern Radiology Services, LLC
• Lauren E Stark
• State of Alabama Department of Public Health (Shelby County Health Dept Flu-Pneu)
• Staywell Counseling
• Colton Norman Steadman, FNP-C
• Joshua Samuel Steed, D.P.T.

• Speech-Language Pathologist in Pelham, AL
• Providers in Pelham, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.