Individual provider Active NPI

Jessica Degollado, SLP

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1932689395
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
124014 Issued in TX
Practice address
5210 Thousand Oaks Dr # 1333
San Antonio, TX 78233-6974
Phone
(210) 733-9050
Fax
(210) 733-9069
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 39042 TX
Speech-Language Pathologist 235Z00000X 124014 TX Primary

Addresses

Primary practice location

5210 Thousand Oaks Dr # 1333
San Antonio, TX 78233-6974

Mailing address

5210 Thousand Oaks Dr
San Antonio, TX 78233-6974
Phone (210) 733-9050

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
39042TXMDPharmacist
124014TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teamability, Inc. CurrentSince Aug 17, 2025 Accepting new patients
Texas Kids Home Therapy Professional Limited Liability Company Past Accepting new patients

Locations

5210 Thousand Oaks Dr
San Antonio, TX 78233
Phone (210) 733-9050

5210 Thousand Oaks Dr
Ste 1333
San Antonio, TX 78233
Phone (210) 733-9050

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1932689395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 THOUSAND OAKS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782336974",
            "telephone_number": "210-733-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 THOUSAND OAKS DR # 1333",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782336974",
            "telephone_number": "210-733-9050",
            "fax_number": "210-733-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGOLLADO",
        "first_name": "JESSICA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "39042",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "124014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.