Active NPI
Jessie Anne Irvin
- Speech-Language Pathologist
- Chesapeake, VA
National Provider Identifier
1073274700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2329 Angler LN
Chesapeake, VA 23323-5335 - Phone
- (571) 265-0379
- NPI assigned
- Jan 5, 2022
- Last updated
- Jan 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
2329 Angler LN
Chesapeake, VA 23323-5335
Mailing address
2329 Angler LN
Chesapeake, VA 23323-5335
Phone (571) 265-0379
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1073274700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2329 ANGLER LN",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233235335",
"telephone_number": "571-265-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2329 ANGLER LN",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233235335",
"telephone_number": "571-265-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVIN",
"first_name": "JESSIE",
"middle_name": "ANNE",
"name_prefix": "Prof.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-05",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
- Robert Patrick Ioven, D.C.
- Ips of Tidewater, LLC
- Tamika Irby
- Michael G Ireland, D.D.S.
- Iron Oak Physical Therapy and Performance LLC Kyle Goodwin Sole MBR
- Tatiana Marie Irvine, PHARMD
- Monica Irving, OT
- Patricia Irving
- Laurie Susan Irwin-Pinkley, N.P.
- Irwin's Pharmacy and Drug Co. Inc. (Irwin's Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.