Active NPI
Jessica M Gilbert, SLP
- Speech-Language Pathologist
- MC Donald, PA
National Provider Identifier
1922240266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL009493
- Practice address
- 6361 Club Dr
MC Donald, PA 15057-3564 - Phone
- (412) 719-0560
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- No
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 | SL009493 | PA | Primary |
Addresses
Primary practice location
6361 Club Dr
MC Donald, PA 15057-3564
Mailing address
6361 Club Dr
MC Donald, PA 15057-3564
Phone (412) 719-0560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 861672184 | Other | PA | SCHOOLS |
| 1922240266 | Other | PA | PRESENCE LEARNING |
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 |
|---|---|---|---|
| SL009493 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625961600000",
"number": "1922240266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6361 CLUB DR",
"city": "MC DONALD",
"state": "PA",
"postal_code": "150573564",
"telephone_number": "412-719-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6361 CLUB DR",
"city": "MC DONALD",
"state": "PA",
"postal_code": "150573564",
"telephone_number": "412-719-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "JESSICA",
"middle_name": "M",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2021-07-11",
"certification_date": "2021-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL009493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCHOOLS",
"identifier": "861672184",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESENCE LEARNING",
"identifier": "1922240266",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in MC Donald, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.