Jessica Paige Fama, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30002039 Issued in NC

Practice address

6622 Gordon Rd Ste L
Wilmington, NC 28411-8415

Phone

(910) 407-7211

NPI assigned

Jan 16, 2020

Last updated

Mar 17, 2025By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Power Up Therapy PC

  • Pediatric Occupational Therapist
  • Wilmington, NC
  • NPI 1487381489
  NPD

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1114557238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SANDRA RD",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605142",
            "telephone_number": "978-995-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 GORDON RD STE L",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118415",
            "telephone_number": "910-407-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMA",
        "first_name": "JESSICA",
        "middle_name": "PAIGE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP96233",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "MTN60246151",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah N Falk, NP
• Carly Marie Faller, MD
• Curtis John Fallon Jr., LAT, ATC
• Darby M Fallon, LPCA
• Gilda Mary Falso, LCMHCA
• Families for Families LLC
• Family Focused LLC.
• Family Focused LLC.
• Family Focused LLC.
• Family Focused LLC.

• Speech-Language Pathologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.