Individual provider Active NPI

Tricia Shae Jojola, M.S. CCC SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1811053267
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2229 Issued in NM
Practice address
5321 Menaul Blvd NE Ste a
Albuquerque, NM 87110-3127
Phone
(505) 889-3412
Fax
(505) 889-3422
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 2229 NM Primary

Addresses

Primary practice location

5321 Menaul Blvd NE Ste a
Albuquerque, NM 87110-3127

Mailing address

PO Box 37440
Albuquerque, NM 87176-7440
Phone (505) 889-3412

Other identifiers 1

IdentifierTypeStateIssuer
80632386MedicaidNM

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2229NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Region Educational Cooperative Past Accepting new patients

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811053267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37440",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871767440",
            "telephone_number": "505-889-3412",
            "fax_number": "505-889-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 MENAUL BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103127",
            "telephone_number": "505-889-3412",
            "fax_number": "505-889-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOJOLA",
        "first_name": "TRICIA",
        "middle_name": "SHAE",
        "credential": "M.S. CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "2229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80632386",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.