Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1609140326 Deactivated / Inactive NPI Female Practitioner

Jennifer S. Gonzalez , MS CCC-SLP

Speech-Language Pathologist • Milton, WA

⚠️

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, Jennifer Gonzalez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 27, 2012
NPI Deactivation Date June 23, 2018
Total Practice Duration ~6 Years of Practice (2012 – 2018)

Professional Overview & Biography Verified Profile Summary

Jennifer Gonzalez, MS CCC-SLP was a registered Speech-Language Pathologist practicing in Milton, WA. Throughout an active medical career spanning 6 years, Jennifer Gonzalez provided care at the practice location at 1205 19TH AVE until profile deactivation on 2018-06-23.

Practice Location & Contact Primary Location

Practice Address

1205 19th Ave

Milton, WA 983549189

Telephone 2535171200

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Milton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Milton, 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 NV 09148767

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 NV SP-778

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 WA 60388930

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

3 Associated Practitioners
Patricia Anderson , OTR, L

Occupational Therapist

NPI 1114261716

Occupational Therapist Registered, L

Betsy Bailey

Specialist/Technologist - Speech-Language Assistant

NPI 1336484278
NPI 1427392935

Master of Arts, EDS, NCSP

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 19, 2024

Registered at 1205 19TH AVE, MILTON, WA 983549189 (Tel: 2535171200)

📍
Updated Business Mailing Address January 19, 2024

Registered at PO BOX 3253, FEDERAL WAY, WA 980633253 (Tel: 7758308874)

👤
Provider Name / Credentials Updated January 19, 2024

Recorded as JENNIFER GONZALEZ, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2024

Speech-Language Pathologist (License #09148767 in NV)

⚠️
NPI Profile Deactivated June 23, 2018

Record deactivated on June 23, 2018

NPI Profile Active October 09, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2013

Registered at 1205 19TH AVE, MILTON, WA 983549189 (Tel: 2535171200)

📍
Updated Business Mailing Address October 09, 2013

Registered at PO BOX 3253, FEDERAL WAY, WA 980633253 (Tel: 7758308874)

👤
Provider Name / Credentials Updated October 09, 2013

Recorded as JENNIFER GONZALEZ, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2013

Speech-Language Pathologist (License #09148767 in NV)

🟢
Initial NPI Registration & Enumeration February 27, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jennifer Gonzalez. Be the first to share your experience!

Sign in to leave a review for Jennifer Gonzalez

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609140326
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2012
Last Update: January 19, 2024
Deactivation Date: June 23, 2018
Sole Proprietor: Yes

Mailing Address

Po Box 3253

Federal Way, WA 980633253

Phone: 7758308874

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.