Active NPI
Jayme L. Cappa
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1003129230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9029
- Practice address
- 836 W Wellington Ave
Chicago, IL 60657-5147 - Phone
- (773) 296-7988
- NPI assigned
- Jul 16, 2010
- Last updated
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9029 | NC | Primary |
Addresses
Primary practice location
836 W Wellington Ave
Chicago, IL 60657-5147
Mailing address
2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018TE | Other | NC | BC GROUP BILLING NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9029 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1003129230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603449",
"telephone_number": "252-633-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W WELLINGTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575147",
"telephone_number": "773-296-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPA",
"first_name": "JAYME",
"middle_name": "L.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-16",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "9029",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC GROUP BILLING NUMBER",
"identifier": "018TE",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.