Jerri Peck, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

101250 Issued in TX

Practice address

800 N Shoreline Blvd Ste 700
Corpus Christi, TX 78401-3771

Phone

(361) 937-7887

NPI assigned

Mar 12, 2018

Last updated

Mar 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Homestyle Specialty Nursing Care, Inc

  dba Restorative Health Care Of South Texas

  • Home Health Agency
  • San Antonio, TX
  • NPI 1811934706
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1942703343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 MEADOW CIR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N SHORELINE BLVD STE 700",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784013771",
            "telephone_number": "361-937-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "JERRI",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Ric Pearce, D.O.
• Samantha J Pearson
• Susan Dean Pearson
• Vanessa Pearson, MD
• Brian Joseph Pebbles, LPC-A
• Jacob Daniel Pedersen, INDEPENDENT DUTY CO
• Pediatric Clinic of South Texas (Fe E Pizarro, M.D. P.A.)
• Pediatric Services Inc. (Pediatric Pharmacy)
• Pediatric Surgical Specialists of South Texas
• Pediatric Surgical Specialists of South Texas LLP

• Speech-Language Pathologist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.