Active NPI
Jacqueline Andrews
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1821498445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP22746
- Practice address
- 13330 Salmon River Rd
San Diego, CA 92129-2640 - Phone
- (858) 461-8275
- NPI assigned
- Sep 2, 2014
- 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 | SP22746 | CA | Primary |
Addresses
Primary practice location
13330 Salmon River Rd
San Diego, CA 92129-2640
Mailing address
PO Box 1214
Solana Beach, CA 92075
Other practice location 1
7840 Mission Center Ct
San Diego, CA 92108-1319
Phone (619) 692-0622
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP22746 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1821498445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1214",
"city": "SOLANA BEACH",
"state": "CA",
"postal_code": "92075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13330 SALMON RIVER RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292640",
"telephone_number": "858-461-8275"
}
],
"practiceLocations": [
{
"address_1": "7840 Mission Center Ct",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921081319",
"country_code": "US",
"telephone_number": "619-692-0622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDREWS",
"first_name": "JACQUELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-02",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP22746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.