Jaclynn Malvarosa

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12756 Issued in NC

Practice address

145 Nashville Commons Dr
Nashville, NC 27856-1823

Phone

(845) 416-0599

NPI assigned

Apr 27, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Speech Therapy Inc

  • Speech-Language Pathologist
  • Wilmington, NC
  • NPI 1750782462
  Medicare reassignment NPD

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1023463072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6678 ANNABELLA RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278038141",
            "telephone_number": "845-416-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NASHVILLE COMMONS DR",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561823",
            "telephone_number": "845-416-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVAROSA",
        "first_name": "JACLYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph T Liverman, MD
• Ronnie D Lloyd, D.D.S.
• Lowe'S Family Care
• Takesha Denise Lynch
• Making Happier Days, PLLC
• Iris Manning
• Raymond Clifton McCall Jr., OTD, OTR/L
• Rutu Mehta
• Catherine Margaret Melin, DNP
• Melinda'S House of Love LLC

• Speech-Language Pathologist in Nashville, NC
• Providers in Nashville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.