Individual provider Active NPI

Jessica Donaldson

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1982802609
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
5924 Anaheim Ave NE Ste B
Albuquerque, NM 87113-1879
Phone
(505) 720-7537
Fax
(505) 922-4917
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

5924 Anaheim Ave NE Ste B
Albuquerque, NM 87113-1879

Mailing address

5924 Anaheim Ave NE Ste B
Albuquerque, NM 87113-1879
Phone (505) 720-7537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250620003542 NM Practitioner - Qualified Speech Language Pathologist 4082132873 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Specialists LLC Speech-Language Pathologist CurrentSince Apr 1, 2025 Accepting new patients

Locations

5924 Anaheim Ave NE
Ste B
Albuquerque, NM 87113
Phone (505) 720-7537

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1982802609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 ANAHEIM AVE NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131879",
            "telephone_number": "505-720-7537",
            "fax_number": "505-922-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 ANAHEIM AVE NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131879",
            "telephone_number": "505-720-7537",
            "fax_number": "505-922-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.