Jessica Anne Tandlich, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0005006 Issued in CO

Practice address

1855 S Wright St
Lakewood, CO 80228-3963

Phone

(303) 982-9270

NPI assigned

Jul 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Kinetic Kids, Inc

  • Developmental Disabilities Clinic/Center
  • Miami, FL
  • NPI 1528323292
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1861045684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10851 SW 68TH AVE",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563921",
            "telephone_number": "305-987-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 S WRIGHT ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283963",
            "telephone_number": "303-982-9270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7791 NW 46th St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331665482",
            "country_code": "US",
            "telephone_number": "305-878-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANDLICH",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-21",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9121",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18402",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0005006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Talavera
• Sylvia I Talavera, D.D.S., OF MYOLOGIST
• Talk Therapy Corporation
• Justin Edward Tallant, LMT
• Sachin Talusani, MD
• Emma Tanner
• Sarah Jane Tanner, RDH, BSDH
• Tanning Shack Inc
• Ran Tao, RN, BSN, MPH
• Angela Marie Tapp, LPC

• Speech-Language Pathologist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.