Active NPI
Jessica Lynn Stratton
- Speech-Language Pathologist
- Plano, TX
National Provider Identifier
1801809199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 102394T
- Practice address
- 1201 E 15TH St
#304
Plano, TX 75074-6238 - Phone
- (972) 424-0148
- NPI assigned
- Aug 15, 2006
- Last updated
- Apr 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 102394T | TX | Primary |
Addresses
Primary practice location
1201 E 15TH St
#304
Plano, TX 75074-6238
Mailing address
7032 Occidental Rd
Plano, TX 75025-6305
Phone (972) 768-8073
Other names 1
- Miss Jessica Lynn Offill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210119001455 | TX | Practitioner - Qualified Speech Language Pathologist | 5890108526 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102394T | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sum LLC | Current | Accepting new patients |
Locations
14683 Midway Rd
Ste 160
Addison, TX 75001
Phone (214) 483-3170
3401 E University Dr
Ste 301
Denton, TX 76208
Phone (214) 833-3170
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1801809199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7032 OCCIDENTAL RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750256305",
"telephone_number": "972-768-8073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 E 15TH ST",
"address_2": "#304",
"city": "PLANO",
"state": "TX",
"postal_code": "750746238",
"telephone_number": "972-424-0148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATTON",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "102394T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "OFFILL",
"middle_name": "LYNN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.