Individual provider Active NPI

Linda Cubellis, M.ED., C.A.G.S., SLP

  • Speech-Language Pathologist
  • Monument Beach, MA
National Provider Identifier
1033297106
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1801 Issued in MA
Practice address
16 Pine Street
Monument Beach, MA 02553-0992
Phone
(508) 846-5731
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1801 MA Primary

Addresses

Primary practice location

16 Pine Street
Monument Beach, MA 02553-0992

Mailing address

16 Pine Street
P.O. Box 992
Monument Beach, MA 02553-0992
Phone (508) 846-5731

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 Education

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033297106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PINE STREET",
            "address_2": "P.O. BOX 992",
            "city": "MONUMENT BEACH",
            "state": "MA",
            "postal_code": "025530992",
            "telephone_number": "508-846-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PINE STREET",
            "city": "MONUMENT BEACH",
            "state": "MA",
            "postal_code": "025530992",
            "telephone_number": "508-846-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBELLIS",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "M.ED., C.A.G.S., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "1801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument Beach, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.