Active NPI
Herbert Leighton Jones, CCC SLP
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1013405786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 02961
- Practice address
- 5107 Liberty Heights Ave
Baltimore, MD 21207-7056 - Phone
- (703) 309-3623
- NPI assigned
- Apr 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 02961 | MD | Primary |
Addresses
Primary practice location
5107 Liberty Heights Ave
Baltimore, MD 21207-7056
Mailing address
PO Box 7548
Gwynn Oak, MD 21207-0548
Phone (703) 309-3623
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 |
|---|---|---|---|
| 02961 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1013405786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7548",
"city": "GWYNN OAK",
"state": "MD",
"postal_code": "212070548",
"telephone_number": "703-309-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5107 LIBERTY HEIGHTS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212077056",
"telephone_number": "703-309-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "HERBERT",
"middle_name": "LEIGHTON",
"name_prefix": "Mr.",
"credential": "CCC SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-27",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "02961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.