Jeanne Hughes O'Sullivan, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

440 Issued in NH

Practice address

4 Library Way
185 Hewitt Hall
Durham, NH 03824-3520

Phone

(603) 862-0055

Fax

(603) 862-4511

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194895409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LIBRARY WAY",
            "address_2": "185 HEWITT HALL",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243520",
            "telephone_number": "603-862-0055",
            "fax_number": "603-862-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LIBRARY WAY",
            "address_2": "185 HEWITT HALL",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243520",
            "telephone_number": "603-862-0055",
            "fax_number": "603-862-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "JEANNE",
        "middle_name": "HUGHES",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010575",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Durham, NH
• Providers in Durham, NH by specialty
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.