Active NPI
Jasmin J Herrera
- Speech-Language Assistant
- Queen Creek, AZ
National Provider Identifier
1922752385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA13421
- Practice address
- 20435 S Old Ellsworth Rd
Queen Creek, AZ 85142-9676 - Phone
- (480) 987-5940
- NPI assigned
- Feb 4, 2022
- Last updated
- Feb 4, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 217000405 | IL | |
| Speech-Language Assistant | 2355S0801X | SLPA13421 | AZ | Primary |
Addresses
Primary practice location
20435 S Old Ellsworth Rd
Queen Creek, AZ 85142-9676
Mailing address
41629 N Ranch Dr
San Tan Valley, AZ 85140-3206
Phone (773) 818-1498
Other practice location 1
20750 S 214th St
Queen Creek, AZ 85142-7749
Phone (480) 987-7400
Other practice location 2
23636 S 204th St
Queen Creek, AZ 85142-9677
Phone (480) 987-5920
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 |
|---|---|---|---|
| SLPA13421 | AZ | MD | Speech-Language Assistant |
| 217000405 | IL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1922752385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41629 N RANCH DR",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851403206",
"telephone_number": "773-818-1498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20435 S OLD ELLSWORTH RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851429676",
"telephone_number": "480-987-5940"
}
],
"practiceLocations": [
{
"address_1": "20750 S 214th St",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851427749",
"country_code": "US",
"telephone_number": "480-987-7400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23636 S 204th St",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851429677",
"country_code": "US",
"telephone_number": "480-987-5920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRERA",
"first_name": "JASMIN",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-04",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "IL",
"license": "217000405",
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA13421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
- Sherri Dawn Helterbran, LPC
- Carol Jean Helvig, FNP
- John J Hembry, DO
- Evelyn Ruth Hermes-Desanti, PHARMD
- Robert Dylan Hernandez, DC
- Merrill R. Heslop, L.C.S.W.
- Michael David Heywood
- Haley Michelle Higginbotham, SLPA
- Highbury Dental Management, LLC (Ironwood Children's Dentistry and Orthodontics)
- Amanda J Hill, M.S. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.