Active NPI
Jessica Sarah Baker
- Speech-Language Pathologist
- Weymouth, MA
National Provider Identifier
1164039038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 78167-SP-SL
- Practice address
- 584 Middle St Apt 33
Weymouth, MA 02189-1119 - Phone
- (617) 833-3029
- NPI assigned
- Sep 25, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78167-SP-SL | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puzzle Pieces, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 78167-SP-SL | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
584 Middle St Apt 33
Weymouth, MA 02189-1119
Mailing address
584 Middle St Apt 33
Weymouth, MA 02189-1119
Phone (617) 833-3029
Other practice location 1
1266 Furnace Brook Pkwy Ste 100B
Quincy, MA 02169-4789
Phone (617) 433-7699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2021.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1164039038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 MIDDLE ST APT 33",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021891119",
"telephone_number": "617-833-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 MIDDLE ST APT 33",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021891119",
"telephone_number": "617-833-3029"
}
],
"practiceLocations": [
{
"address_1": "1266 Furnace Brook Pkwy Ste 100B",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021694789",
"country_code": "US",
"telephone_number": "617-433-7699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "JESSICA",
"middle_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "78167-SP-SL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.