Active NPI
Janine Mary Charbonneau, M.S. CF-SLP
- Speech-Language Pathologist
- New Bedford, MA
National Provider Identifier
1174643241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 863 Hathaway Rd
New Bedford, MA 02740-1916 - Phone
- (508) 996-6763
- NPI assigned
- Mar 30, 2007
- 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
863 Hathaway Rd
New Bedford, MA 02740-1916
Mailing address
12 Billings St
Taunton, MA 02780-4803
Phone (508) 967-7049
Other names 1
- Miss Janine Mary Drake
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174643241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BILLINGS ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027804803",
"telephone_number": "508-967-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "863 HATHAWAY RD",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027401916",
"telephone_number": "508-996-6763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARBONNEAU",
"first_name": "JANINE",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "M.S. CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANINE",
"last_name": "DRAKE",
"middle_name": "MARY",
"prefix": "MISS",
"credential": "B.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.