JANE OLIVER WALLIS M.S-SLP
NPI 1255685590
Speech-Language Pathologist in Antioch, CA

Q: What is Jane Wallis's NPI number?

The NPI number for Jane Wallis is 1255685590. It was assigned to this individual provider in the NPPES registry on November 8, 2012.

Q: What is Jane Wallis's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jane Wallis was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 08, 2012Accepts Medicare Assignment

4501 SAND CREEK RD, ANTIOCH, CA 94531(925) 813-6420 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2022, Jul 13, 2021, Jan 9, 2018 (3 updates tracked since 2018).

On this page

About Jane Oliver Wallis M.s-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANE OLIVER WALLIS M.S-SLP (NPI 1255685590) is an individual speech-language pathologist provider in Antioch, California, licensed in California (7414) and active in the NPI registry since November 2012. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1255685590

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJANE OLIVER WALLISCredential: M.S-SLP

Location Address4501 SAND CREEK RDAntioch, CA 94531-8687

Mailing Address4501 Sand Creek RdAntioch, CA 94531-8687 · (925) 813-7706

Phone(925) 813-6420

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 8, 2012

Last NPPES UpdateJanuary 13, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2022

✔ NPI 1255685590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 7414

Definition

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.

4501 SAND CREEK RD, Antioch, CA 94531

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jane Oliver Wallis M.s-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517225436

PECOS Enrollment IDI20171226002008

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN ASAKO SHIMODA PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)