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Active NPI 1316515752 Individual Practitioner Female Practitioner

Shannon Nicole Jacquez-Jaramillo , CCC-SLP

Speech-Language Pathologist • Tustin, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Shannon Jacquez-Jaramillo, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Tustin, CA. Official NPI practice address is registered at 624 AMBROSE LN.

Practice Location & Contact Primary Location

Practice Address

624 Ambrose Ln

Tustin, CA 927804443

Telephone 9496838525

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tustin, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
46 Specialists

Practicing in Tustin, 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: 2023-03-31
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 33609

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License CA 15506

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.

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated March 31, 2023

Recorded as SHANNON JACQUEZ-JARAMILLO, CCC-SLP

NPI Profile Active June 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2021

Registered at 624 AMBROSE LN, TUSTIN, CA 927804443 (Tel: 9496838525)

📍
Updated Business Mailing Address June 13, 2021

Registered at 624 AMBROSE LN, TUSTIN, CA 927804443 (Tel: 9496838525)

👤
Provider Name / Credentials Updated June 13, 2021

Recorded as SHANNON JACQUEZ-JARAMILLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2021

Speech-Language Pathologist (License #15506 in CA)

🟢
Initial NPI Registration & Enumeration June 13, 2021

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: 1316515752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2021
Last Update: March 31, 2023
Sole Proprietor: No

Mailing Address

624 Ambrose Ln

Tustin, CA 927804443

Phone: 9496838525

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.