Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Bonner

Individual provider Speech-Language Pathologist · NPI 1134953185

Jessica Bonner is a Qualified Speech Language Pathologist in Los Angeles, California. Qualified in 2019, 7 years ago. Practices with Expressable Speech-Language Pathology PC, a 113-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Texas.

Years since qualifying
7
Licensed in
NC, TX
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

633 W 5th St Ofc 2876B
Los Angeles, CA 90071-2005
Phone: (512) 399-0064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 14472 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 119332 (TX)

Record details

NPI number1134953185
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2024
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Expressable Speech-Language Pathology Pc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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