Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jessica Eidsvaag , SLP

Speech-Language Pathologist β€’ Phoenix, AZ

Active NPI 1821480971 Individual Practitioner Female Practitioner
Practice location in NPPES

3625 E Ray Rd, #1136
Phoenix, AZ 850447118

Call 4805184682 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3625 E Ray Rd
#1136

Phoenix, AZ 850447118

Telephone 4805184682

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Phoenix and Arizona

934 active clinicians are listed under Speech-Language Pathologist with a practice address in Phoenix, AZ (4,510 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

0.4% of these 934 clinicians have the CMS telehealth indicator.

1.7% of these 934 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ SLP8769

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address June 10, 2021

Registered at 198 E. CANARY CT., SAN TAN VALLEY, AZ 85143 (Tel: 4805184682)

πŸ‘€
Provider Name / Credentials Updated June 10, 2021

Recorded as JESSICA EIDSVAAG, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2021

Speech-Language Pathologist (license number reported to NPPES: AZ SLP8769)

βœ…
NPI Profile Active February 26, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 26, 2015

Registered at 3625 E RAY RD, #1136, PHOENIX, AZ 850447118 (Tel: 4805184682)

πŸ“
Business Mailing Address (Initial Record) February 26, 2015

Registered at 3625 E RAY RD, #1136, PHOENIX, AZ 850447118

πŸ‘€
Provider Name / Credentials (Initial Record) February 26, 2015

Recorded as JESSICA EIDSVAAG, SLP-A

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2015

Specialist/Technologist (license number reported to NPPES: AZ SLPA8769)

🟒
Initial NPI Registration & Enumeration February 26, 2015

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1821480971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2015
Last Update: June 10, 2021
Sole Proprietor: Yes

Other Speech-Language Pathologists in Phoenix

All Speech-Language Pathologists in Phoenix

Mailing Address

198 E. Canary Ct.

San Tan Valley, AZ 85143

Phone: 4805184682

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.