Jessica L Sepulveda, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1074 Issued in PR

Practice address

Ae14 Calle Rio Humacao
Urb. Rio Hondo 2
Bayamon, PR 00961-3201

Phone

(787) 439-8517

NPI assigned

Mar 14, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426291200000",
    "number": "1013300094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AE14 CALLE RIO HUMACAO",
            "address_2": "URB. RIO HONDO 2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613201",
            "telephone_number": "787-439-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AE14 CALLE RIO HUMACAO",
            "address_2": "URB. RIO HONDO 2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613201",
            "telephone_number": "787-439-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-14",
        "last_updated": "2015-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Segui Mercado
• Enrique Segura Nieves, M.D.
• Senen Segura Nieves, D.D.S.
• Joham Senior Marino, MD
• Carlos Alexis Sepulveda, MSW
• Eric H Serrano Forty, DMD
• Yanissa Serrano Gonzalez, CPHT
• Chelsea Serrano Lopez
• Ana Michelle Serrano Ramos
• Kiara Liz Serrano Vazquez, MD

• Speech-Language Pathologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.