Jessica Nathe
Speech-Language Pathologist, in Surprise, AZ. Individual provider (NPI-1).
NPI number1669984795
StatusActive
Last updated in NPPESJul 21, 2020
Details
- NPI
- 1669984795
- Entity type
- Individual (NPI-1)
- Name
- Jessica Nathe
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2017
- Certification date
- Jul 21, 2020
- Last updated
- Jul 21, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | TSLP10912 | AZ | Yes |
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | SLPA10912 | AZ |
Practice location
15802 N Parkview PlSurprise, AZ 85374-7466
Phone 623-876-7923
Mailing address
13345 W Port Royale LnSurprise, AZ 85379-6585
Phone 602-578-9217
Other practice locations
4870 N Litchfield Rd Ste 101
Litchfield Park, AZ 85340-5041
Litchfield Park, AZ 85340-5041
Phone 623-935-6040
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 122 Speech-Language Pathologist providers in Surprise · All 3,078 providers in Surprise
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