Jolene Cairns

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7531 Issued in MA

Practice address

110 Haverhill Rd Ste 101
Amesbury, MA 01913-2139

Phone

(855) 390-7774

Fax

(855) 734-4666

NPI assigned

Mar 5, 2020

Last updated

Jun 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1053946582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 D ST UNIT 17",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021271292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 101",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132139",
            "telephone_number": "855-390-7774",
            "fax_number": "855-734-4666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 D St Unit 17",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021271292",
            "country_code": "US",
            "telephone_number": "617-816-7255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAIRNS",
        "first_name": "JOLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE SLP LICENSE",
            "identifier": "7354",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Amesbury, MA
• Providers in Amesbury, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.