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
- 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 identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T6109 | Other | TX | BLUE CROSS BLUE SHIELD |
| 7754812 | Other | TX | AETNA |
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 and National Provider Directory roles.
-
- Rehabilitation Practitioner
- Addison, TX
- NPI 1437490968
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.