Active NPI
Jennifer L Chapin, CCC-SLP
- Speech-Language Pathologist
- Boston, MA
National Provider Identifier
1023371051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP6868
- Practice address
- 19 Anson St # 2
Boston, MA 02130-3201 - Phone
- (617) 431-8828
- Fax
- (617) 431-8826
- NPI assigned
- Jun 25, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3685-154 | WI | |
| Speech-Language Pathologist | 235Z00000X | SA13454 | FL | |
| Speech-Language Pathologist | 235Z00000X | SLP6868 | MA | Primary |
Addresses
Primary practice location
19 Anson St # 2
Boston, MA 02130-3201
Mailing address
19 Anson St # 2
Boston, MA 02130-3201
Phone (617) 431-8828
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S018F | Other | FL | BLUE CROS BLUE SHIELD |
| 014401700 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA13454 | FL | MD | Speech-Language Pathologist |
| SLP6868 | MA | MD | Speech-Language Pathologist |
| 3685-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1023371051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 ANSON ST # 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021303201",
"telephone_number": "617-431-8828",
"fax_number": "617-431-8826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 ANSON ST # 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021303201",
"telephone_number": "617-431-8828",
"fax_number": "617-431-8826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPIN",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "3685-154",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA13454",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "SLP6868",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROS BLUE SHIELD",
"identifier": "S018F",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014401700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.