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Active NPI 1366519001 Individual Practitioner Female Practitioner

Jesica C Pruitt , MS, CCC-SLP

Speech-Language Pathologist • Bothell, WA

Professional Overview & Biography Verified Profile Summary

Jesica Pruitt, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bothell, WA. Practice services are available at 9818 NE 200TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9818 Ne 200th St

Bothell, WA 980112300

Telephone 4259413768

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bothell, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
50 Specialists

Practicing in Bothell, WA (4167 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 WA LL00004202

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8461469 (WA)
Medicaid State Provider ID
7028319 (WA)
Commercial Insurance / Payer ID Asha Number
12090673 (WA)
Commercial Insurance / Payer ID Aetna Provider Number
7411852 (WA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2008

Registered at 9818 NE 200TH ST, BOTHELL, WA 980112300 (Tel: 4259413768)

📍
Updated Business Mailing Address September 12, 2008

Registered at 9818 NE 200TH ST, BOTHELL, WA 980112300 (Tel: 4259413768)

👤
Provider Name / Credentials Updated September 12, 2008

Recorded as JESICA PRUITT, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2008

Speech-Language Pathologist (License #LL00004202 in WA)

🟢
Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366519001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: September 12, 2008
Sole Proprietor: Yes

Mailing Address

9818 Ne 200th St

Bothell, WA 980112300

Phone: 4259413768

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.