Active NPI
Jennifer Marie Vespa, M.A.
- Speech-Language Pathologist
- Lackawanna, NY
National Provider Identifier
1184068199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 022751
- Practice address
- 697 Ridge Rd
Lackawanna, NY 14218-1500 - Phone
- (716) 822-4781
- NPI assigned
- Apr 21, 2013
- 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 | 022751 | NY | Primary |
Addresses
Primary practice location
697 Ridge Rd
Lackawanna, NY 14218-1500
Mailing address
697 Ridge Rd
Lackawanna, NY 14218-1500
Phone (716) 822-4781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022751 | Other | NY | NEW YORK STATE LICENSE NUMBER |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022751 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366502400000",
"number": "1184068199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "697 RIDGE RD",
"city": "LACKAWANNA",
"state": "NY",
"postal_code": "142181500",
"telephone_number": "716-822-4781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "697 RIDGE RD",
"city": "LACKAWANNA",
"state": "NY",
"postal_code": "142181500",
"telephone_number": "716-822-4781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESPA",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-21",
"last_updated": "2013-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "022751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE LICENSE NUMBER",
"identifier": "022751",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lackawanna, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.