Individual provider Active NPI

Jessica Spizzirri, MS CCC-SLP

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1902652415
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA22522 Issued in FL
Practice address
633 W 5TH St Ofc 2876B
Los Angeles, CA 90071-2005
Phone
(512) 399-0064
NPI assigned
Apr 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146016913 IL
Speech-Language Pathologist 235Z00000X SA22522 FL Primary

Addresses

Primary practice location

633 W 5TH St Ofc 2876B
Los Angeles, CA 90071-2005

Mailing address

633 W 5TH St Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 399-0064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240513003552 IL Practitioner - Qualified Speech Language Pathologist 8123469863 Reassigns benefits to 1 organization
I20240528000102 FL Practitioner - Qualified Speech Language Pathologist 8123469863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (512) 399-0064

5 Revere Dr
Northbrook, IL 60062-1566
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA22522FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince May 28, 2024 Accepting new patients

Locations

633 W 5th St
Los Angeles, CA 90071
Phone (213) 260-1286

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

5 Revere Dr
#One
Northbrook, IL 60062

5 Revere Dr
Ste 200
Northbrook, IL 60062
Phone (630) 291-3206

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

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": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1902652415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W 5TH ST OFC 2876B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900712005",
            "telephone_number": "512-399-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 W 5TH ST OFC 2876B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900712005",
            "telephone_number": "512-399-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIZZIRRI",
        "first_name": "JESSICA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146016913",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA22522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.