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Lisa Jurkiewicz

Speech-Language Pathologist β€’ Gambrills, MD

Active NPI 1750763918 Individual Practitioner Female Practitioner
Practice location in NPPES

1119 State Route 3 N Ste 201
Gambrills, MD 210541788

Call 4438081218 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

1119 State Route 3 N Ste 201

Gambrills, MD 210541788

Telephone 4438081218
Organization at the Same NPPES Address or Phone
Strides Therapy Llc Facility NPI 1134853500

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

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 Gambrills and Maryland

7 active clinicians are listed under Speech-Language Pathologist with a practice address in Gambrills, MD (4,510 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

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: 2021-12-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MD 09365

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

License # reported to NPPES VA 2202007908

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

License # reported to NPPES DC SLP001045

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: Maryland Board of Physicians.
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 Practice Location December 08, 2021

Registered at 1119 STATE ROUTE 3 N STE 201, GAMBRILLS, MD 210541788 (Tel: 4438081218)

πŸ“
Updated Business Mailing Address December 08, 2021

Registered at 3776 PATUXENT RIVER RD, DAVIDSONVILLE, MD 210352419 (Tel: 4438081218)

πŸ‘€
Provider Name / Credentials Updated December 08, 2021

Recorded as LISA JURKIEWICZ

βœ…
NPI Profile Active June 24, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 24, 2015

Registered at 2765 JEFFERSON DAVIS HWY, STE. 203, STAFFORD, VA 225548331 (Tel: 5407202261)

πŸ“
Business Mailing Address (Initial Record) June 24, 2015

Registered at 2765 JEFFERSON DAVIS HWY, STE. 203, STAFFORD, VA 225548331 (Tel: 5407202261)

πŸ‘€
Provider Name / Credentials (Initial Record) June 24, 2015

Recorded as LISA ALDEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2015

Speech-Language Pathologist (license number reported to NPPES: VA 2202007908)

🟒
Initial NPI Registration & Enumeration June 24, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750763918
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2015
Last Update: December 08, 2021
Sole Proprietor: No

Mailing Address

3776 Patuxent River Rd

Davidsonville, MD 210352419

Phone: 4438081218

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.