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Deactivated NPI 1881128247 Deactivated / Inactive NPI Female Practitioner

Jessica Maria Carrizo , MS CCC-SLP

Speech-Language Pathologist • Davis, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jessica Carrizo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 12, 2017
NPI Deactivation Date July 08, 2019
Total Practice Duration ~2 Years of Practice (2017 – 2019)

Professional Overview & Biography Verified Profile Summary

Jessica Carrizo, MS CCC-SLP was a registered Speech-Language Pathologist practicing in Davis, CA. Throughout an active medical career spanning 2 years, Jessica Carrizo provided care at the practice location at 2055 ANDERSON RD until profile deactivation on 2019-07-08.

Practice Location & Contact Primary Location

Practice Address

2055 Anderson Rd

Davis, CA 956161210

Telephone 7072160990
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Davis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Davis, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-14
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 24853

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. John Miller , PhD

Psychologist - Clinical

NPI 1003819566

Doctor of Philosophy (Ph.D.)

Katherine Miller , LCSW

Social Worker - Clinical

NPI 1093003774

Licensed Clinical Social Worker

NPI 1154470219

Doctor of Chiropractic

Katie Kurtovic , MFT, ATR-BC

Marriage & Family Therapist

NPI 1356589550

Marriage and Family Therapist, Registered Art Therapist - Board Certified

NPI 1386654325

Doctor of Psychology (Psy.D.), PSYCHOLOGIST

Dr. Jerry Plummer , DSW, BCD

Social Worker - Clinical

NPI 1467455923

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 14, 2021

Registered at 2055 ANDERSON RD, DAVIS, CA 956161210 (Tel: 7072160990)

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Updated Business Mailing Address April 14, 2021

Registered at 2055 ANDERSON RD, DAVIS, CA 956161210 (Tel: 7072160990)

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Provider Name / Credentials Updated April 14, 2021

Recorded as JESSICA CARRIZO, MS CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2021

Speech-Language Pathologist (License #24853 in CA)

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NPI Profile Deactivated July 08, 2019

Record deactivated on July 08, 2019

NPI Profile Active April 12, 2017

NPI status registered as active in NPPES database

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Updated Practice Location April 12, 2017

Registered at 2524 ALLEN CIR, WOODLAND, CA 957765339 (Tel: 8016736405)

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Updated Business Mailing Address April 12, 2017

Registered at 2524 ALLEN CIR, WOODLAND, CA 957765339 (Tel: 8016736405)

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Provider Name / Credentials Updated April 12, 2017

Recorded as JESSICA CARRIZO, MS CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2017

Speech-Language Pathologist (License #15652 in OR)

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Initial NPI Registration & Enumeration April 12, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881128247
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2017
Last Update: April 14, 2021
Deactivation Date: July 08, 2019
Sole Proprietor: No

Mailing Address

2055 Anderson Rd

Davis, CA 956161210

Phone: 7072160990

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.