Jessica Ann Cirillo Wenck, M.A.-CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58021265 Issued in NY

Practice address

309 W Thurston St
Elmira, NY 14901-1124

Phone

(607) 735-3000

NPI assigned

Aug 11, 2011

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": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1093094765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ROOSEVELT AVE APT 10",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W THURSTON ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011124",
            "telephone_number": "607-735-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENCK",
        "first_name": "JESSICA",
        "middle_name": "ANN CIRILLO",
        "name_prefix": "Mrs.",
        "credential": "M.A.-CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58021265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Elmira, NY
• Providers in Elmira, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.