Active NPI
Jaycie Morgan Vanhall
- Speech-Language Pathologist
- Canandaigua, NY
National Provider Identifier
1164094090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 5415 County Road 30
Canandaigua, NY 14424-7964 - Phone
- (585) 394-9510
- Fax
- (585) 394-5326
- NPI assigned
- Jul 12, 2021
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
5415 County Road 30
Canandaigua, NY 14424-7964
Mailing address
5415 County Road 30
Canandaigua, NY 14424-7964
Phone (585) 394-9510
Other practice location 1
731 Pre Emption Rd
Geneva, NY 14456-1335
Phone (315) 789-6828
Other names 1
- Jaycie Morgan Howard
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": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1164094090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5415 COUNTY ROAD 30",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144247964",
"telephone_number": "585-394-9510",
"fax_number": "585-394-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 COUNTY ROAD 30",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144247964",
"telephone_number": "585-394-9510",
"fax_number": "585-394-5326"
}
],
"practiceLocations": [
{
"address_1": "731 Pre Emption Rd",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "NY",
"postal_code": "144561335",
"country_code": "US",
"telephone_number": "315-789-6828",
"fax_number": "315-789-7750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANHALL",
"first_name": "JAYCIE",
"middle_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAYCIE",
"last_name": "HOWARD",
"middle_name": "MORGAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.