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Deactivated NPI 1134498173 Deactivated / Inactive NPI Female Practitioner

Jasmine Wilson

Speech-Language Pathologist • Monroe, LA

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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, Jasmine Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 20, 2011
NPI Deactivation Date May 23, 2018
Total Practice Duration ~7 Years of Practice (2011 – 2018)

Professional Overview & Biography Verified Profile Summary

Jasmine Wilson was a registered Speech-Language Pathologist practicing in Monroe, LA. Throughout an active medical career spanning 7 years, Jasmine Wilson provided care at the practice location at 1000 MCKEEN PL until profile deactivation on 2018-05-23.

Practice Location & Contact Primary Location

Practice Address

1000 Mckeen Pl

Monroe, LA 712014406

Telephone 3183883734
Associated Practice Facility / Clinic
🏢 Woodlawn Manor, Inc. Facility NPI 1912931254

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Monroe, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
111 Specialists

Practicing in Monroe, LA (3335 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License LA 5428

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

13 Associated Practitioners
Renee Ellerbe

Occupational Therapy Assistant

NPI 1073882049
Joseph Clampit

Physical Therapy Assistant

NPI 1245569540
Wendy Richey , LCOTA

Occupational Therapy Assistant

NPI 1265845325
Amanda Johnson

Physical Therapy Assistant

NPI 1306103387
Kristen Figueroa

Physical Therapist

NPI 1578894374
Amy Farris

Physical Therapy Assistant

NPI 1689973166

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 23, 2018

Record deactivated on May 23, 2018

NPI Profile Active December 20, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 20, 2011

Registered at 1000 MCKEEN PL, MONROE, LA 712014406 (Tel: 3183883734)

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Updated Business Mailing Address December 20, 2011

Registered at 4109 HIGHWAY 98 W, SUMMIT, MS 396669132

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Provider Name / Credentials Updated December 20, 2011

Recorded as JASMINE WILSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2011

Speech-Language Pathologist (License #5428 in LA)

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Initial NPI Registration & Enumeration December 20, 2011

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: 1134498173
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2011
Last Update: December 20, 2011
Deactivation Date: May 23, 2018

Mailing Address

4109 Highway 98 W

Summit, MS 396669132

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

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