Individual provider Active NPI

Jessica Lynn Stratton

  • Speech-Language Pathologist
  • Plano, TX
National Provider Identifier
1801809199
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102394T Issued in TX
Practice address
1201 E 15TH St
#304
Plano, TX 75074-6238
Phone
(972) 424-0148
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 identifiers 2

IdentifierTypeStateIssuer
8T6109OtherTXBLUE CROSS BLUE SHIELD
7754812OtherTXAETNA

Other names 1

  • Miss Jessica Lynn Offill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119001455 TX Practitioner - Qualified Speech Language Pathologist 5890108526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102394TTXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sum LLC CurrentSince Apr 1, 2018 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 and National Provider Directory roles.

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T6109",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7754812",
            "state": "TX"
        }
    ],
    "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.

Verify at the official NPI Registry.