Individual provider Active NPI

Jolene Marie Fielder, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Cranberry TWP., PA
National Provider Identifier
1033262399
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL008490 Issued in PA
Practice address
Two Landmark North 20397 Route 19
Suite 30
Cranberry TWP., PA 16066-6102
Phone
(855) 887-7332
Fax
(866) 343-1410
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL008490 PA Primary

Addresses

Primary practice location

Two Landmark North 20397 Route 19
Suite 30
Cranberry TWP., PA 16066-6102

Mailing address

2400 Darlington Rd
Beaver Falls, PA 15010-1305
Phone (724) 846-8255

Other identifiers 1

IdentifierTypeStateIssuer
1016455210001MedicaidPA

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

LicenseStateTypeSpecialty
SL008490PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talktime Speech Therapy, LLC PastSince Feb 27, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1033262399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 DARLINGTON RD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101305",
            "telephone_number": "724-846-8255",
            "fax_number": "724-647-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TWO LANDMARK NORTH 20397 ROUTE 19",
            "address_2": "SUITE 30",
            "city": "CRANBERRY TWP.",
            "state": "PA",
            "postal_code": "160666102",
            "telephone_number": "855-887-7332",
            "fax_number": "866-343-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDER",
        "first_name": "JOLENE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016455210001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP., PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.