Individual provider Active NPI

Jessica Marie Guida, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Woodland Park, CO
National Provider Identifier
1982942546
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1067 E US Highway 24
PMB 72
Woodland Park, CO 80863-2120
Phone
(719) 286-0270
NPI assigned
Jan 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 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 Pathologist 235Z00000X Primary

Addresses

Primary practice location

1067 E US Highway 24
PMB 72
Woodland Park, CO 80863-2120

Mailing address

1067 E US Highway 24
PMB 72
Woodland Park, CO 80863-2120
Phone (970) 214-8113

Other identifiers 1

IdentifierTypeStateIssuer
1982942546MedicaidCO

Other names 1

  • Jessica Pettit Former 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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1982942546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 E US HIGHWAY 24",
            "address_2": "PMB 72",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632120",
            "telephone_number": "970-214-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 E US HIGHWAY 24",
            "address_2": "PMB 72",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632120",
            "telephone_number": "719-286-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDA",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982942546",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PETTIT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.