Active NPI
Regina Marie Jones, M.S. CCC-SLP
- Speech-Language Pathologist
- Wasilla, AK
National Provider Identifier
1093021230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL008947
- Practice address
- 300 W Swanson Ave
Wasilla, AK 99654-6844 - Phone
- (907) 313-3600
- NPI assigned
- Aug 25, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 100749 | AK | |
| Speech-Language Pathologist | 235Z00000X | SL008947 | PA | Primary |
Addresses
Primary practice location
300 W Swanson Ave
Wasilla, AK 99654-6844
Mailing address
64 Corry Ave
Lancaster, PA 17601-3932
Phone (907) 707-5071
Other practice location 1
370 Meetinghouse Ln
Lancaster, PA 17601-7022
Phone (610) 698-6860
Other practice location 2
64 Corry Ave
Lancaster, PA 17601-3932
Phone (907) 707-5071
Other names 1
- Miss Regina Marie Illig
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100749 | AK | MD | Speech-Language Pathologist |
| SL008947 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1093021230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 CORRY AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176013932",
"telephone_number": "907-707-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W SWANSON AVE",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546844",
"telephone_number": "907-313-3600"
}
],
"practiceLocations": [
{
"address_1": "370 Meetinghouse Ln",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176017022",
"country_code": "US",
"telephone_number": "610-698-6860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "64 Corry Ave",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176013932",
"country_code": "US",
"telephone_number": "907-707-5071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "REGINA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AK",
"license": "100749",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL008947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REGINA",
"last_name": "ILLIG",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "M.S. CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.