Active NPI
Jessica Suggs
- Speech-Language Pathologist
- Belfair, WA
National Provider Identifier
1972850956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60411932
- Practice address
- 71 E Campus Dr
Belfair, WA 98528-8305 - Phone
- (360) 277-2206
- NPI assigned
- Aug 9, 2012
- 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 | LL60411932 | WA | Primary |
| Speech-Language Pathologist | 235Z00000X | C-5158 | NM |
Addresses
Primary practice location
71 E Campus Dr
Belfair, WA 98528-8305
Mailing address
71 E Campus Dr
Belfair, WA 98528-8305
Phone (360) 277-2206
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 |
|---|---|---|---|
| C-5158 | NM | MD | Speech-Language Pathologist |
| LL60411932 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1972850956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 E CAMPUS DR",
"city": "BELFAIR",
"state": "WA",
"postal_code": "985288305",
"telephone_number": "360-277-2206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 E CAMPUS DR",
"city": "BELFAIR",
"state": "WA",
"postal_code": "985288305",
"telephone_number": "360-277-2206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGGS",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60411932",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "C-5158",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belfair, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.