Active NPI
Debra Beth Jablonski, SLP
- Speech-Language Pathologist
- Vancouver, WA
National Provider Identifier
1952735490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60500815
- Practice address
- 9414 NE Fourth PLN Rd
Vancouver, WA 98662 - Phone
- (360) 892-5142
- NPI assigned
- Sep 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 Pathologist | 235Z00000X | LL60500815 | WA | Primary |
| Speech-Language Pathologist | 235Z00000X | 16019 | OR |
Addresses
Primary practice location
9414 NE Fourth PLN Rd
Vancouver, WA 98662
Mailing address
2132 NE Liberty St
Portland, OR 97211-5341
Phone (971) 255-9761
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 |
|---|---|---|---|
| 16019 | OR | MD | Speech-Language Pathologist |
| LL60500815 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1952735490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2132 NE LIBERTY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972115341",
"telephone_number": "971-255-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9414 NE FOURTH PLN RD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98662",
"telephone_number": "360-892-5142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABLONSKI",
"first_name": "DEBRA",
"middle_name": "BETH",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-01",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60500815",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "16019",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.