Jessica W Federman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP01511 Issued in RI

Practice address

25 West Independence Way
Suite I
Kingston, RI 02881

Phone

(401) 874-9387

Fax

(401) 874-4404

NPI assigned

Sep 18, 2019

Last updated

Sep 18, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1043860406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WEST INDEPENDENCE WAY",
            "address_2": "SUITE I",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "02881",
            "telephone_number": "401-874-9387",
            "fax_number": "401-874-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WEST INDEPENDENCE WAY",
            "address_2": "SUITE I",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "02881",
            "telephone_number": "401-874-9387",
            "fax_number": "401-874-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERMAN",
        "first_name": "JESSICA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP01511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Depumpo, MT-BC, LPMT
• Evan Drabik
• Ashley Dulac
• Anne M Dupre, DPT
• Angela Marie Farine, PA-C, ATC
• Brett M Feret, PHARMD
• Susan Field
• Constance Pierson Fitzelle, MA2 MS1
• Aiden Denis Flood
• Adrian Fogarty, LMHC

• Speech-Language Pathologist in Kingston, RI
• Providers in Kingston, RI by specialty
• Speech-Language Pathologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.