Active NPI
Jessica Letzig Berkow, M.S., CCC-SLP
- Speech-Language Pathologist
- Little Rock, AR
National Provider Identifier
1013044221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2379
- Practice address
- 1900 Aldersgate Rd
Little Rock, AR 72205-3906 - Phone
- (501) 821-6116
- NPI assigned
- Feb 27, 2007
- 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 | 2379 | AR | Primary |
Addresses
Primary practice location
1900 Aldersgate Rd
Little Rock, AR 72205-3906
Mailing address
1900 Aldersgate Rd
Little Rock, AR 72205-3906
Phone (501) 821-6116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5B982 | Other | AR | BLUE CROSS BLUE SHIELD |
| 157927721 | Medicaid | AR |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2379 | AR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1013044221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 ALDERSGATE RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053906",
"telephone_number": "501-821-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 ALDERSGATE RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053906",
"telephone_number": "501-821-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKOW",
"first_name": "JESSICA",
"middle_name": "LETZIG",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "2379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5B982",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157927721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.