Individual provider Active NPI

Ismahan Jaburi II

  • Speech-Language Assistant
  • Salt Lake City, UT
National Provider Identifier
1972966257
Registry record updated Apr 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
97176711901 Issued in UT
Practice address
3471 S Hedron PL Apt 601
Salt Lake City, UT 84119-7910
Phone
(801) 503-2306
NPI assigned
Apr 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 97176711901 UT Primary

Addresses

Primary practice location

3471 S Hedron PL Apt 601
Salt Lake City, UT 84119-7910

Mailing address

PO Box 271382
Salt Lake City, UT 84127-1382
Phone (801) 503-2306

Other names 1

  • Abdulkarim Ali Aden II Professional name

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
97176711901UTMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Care Services LLP Past Accepting new patients

Organizations & group practices 1

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": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459641600000",
    "number": "1972966257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271382",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841271382",
            "telephone_number": "801-503-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 S HEDRON PL APT 601",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841197910",
            "telephone_number": "801-503-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABURI",
        "first_name": "ISMAHAN",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2016-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "UT",
            "license": "97176711901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDULKARIM",
            "last_name": "ADEN",
            "middle_name": "ALI",
            "suffix": "II",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2016; 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.