Individual provider Active NPI

Jeanette Alba, SP

  • Speech-Language Pathologist
  • Santa Barbara, CA
National Provider Identifier
1881892123
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP10689 Issued in CA
Practice address
1135 N Patterson Ave
Santa Barbara, CA 93111-1113
Phone
(805) 683-1995
Fax
(805) 683-4793
NPI assigned
Jul 9, 2007
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 SP10689 CA Primary

Addresses

Primary practice location

1135 N Patterson Ave
Santa Barbara, CA 93111-1113

Mailing address

1135 N Patterson Ave
Santa Barbara, CA 93111-1113
Phone (805) 683-1995

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

LicenseStateTypeSpecialty
SP10689CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Living Center at Santa Barbara Past Accepting new patients
Caremeridian, LLC Past Accepting new patients

Organizations & group practices 2

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": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881892123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 N PATTERSON AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111113",
            "telephone_number": "805-683-1995",
            "fax_number": "805-683-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 N PATTERSON AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111113",
            "telephone_number": "805-683-1995",
            "fax_number": "805-683-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBA",
        "first_name": "JEANETTE",
        "credential": "SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP10689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

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.